hospital_name,last_updated_on,version,location_name,hospital_address,type_2_npi,license_number | NY ,attester_name,"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
University Hospital of Brooklyn,3/31/2026,1.0.0,University Hospital of Brooklyn,"445 Lenox Road, Brooklyn NY 11203",1639179328,7001037H,Balavenkatesh Kanna,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,Code | 1,Code | 1 | type,modifiers,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge | gross,standard_charge | discounted_cash ,,standard_charge | Aetna | commercial | negotiated_dollar,standard_charge | Aetna | commercial | negotiated_percentage,standard_charge | Aetna | commercial | negotiated_algorithm,median_amount |Aetna | commercial,10th_percentile |Aetna |commercial,90th_percentile |Aetna |commercial,count |Aetna |commercial,standard_charge | Aetna | commercial | methodology,additional_payer_notes | Aetna | commercial,standard_charge | CIGNA | commercial | negotiated_dollar,standard_charge | CIGNA | commercial | negotiated_percentage,standard_charge | CIGNA | commercial | negotiated_algorithm,median_amount |CIGNA | commercial,10th_percentile |CIGNA |commercial,90th_percentile |CIGNA |commercial,count |CIGNA |commercial,standard_charge | CIGNA | commercial | methodology,additional_payer_notes | CIGNA | commercial,standard_charge | EBCBS HMO | commercial | negotiated_dollar,standard_charge | EBCBS HMO | commercial | negotiated_percentage,standard_charge | EBCBS HMO | commercial | negotiated_algorithm,median_amount |EBCBS HMO | commercial,10th_percentile |EBCBS HMO |commercial,90th_percentile |EBCBS HMO |commercial,count |EBCBS HMO |commercial,standard_charge | EBCBS HMO | commercial | methodology,additional_payer_notes | EBCBS HMO | commercial,standard_charge | EBCBS PPO | commercial | negotiated_dollar,standard_charge | EBCBS PPO | commercial | negotiated_percentage,standard_charge | EBCBS PPO | commercial | negotiated_algorithm,median_amount |EBCBS PPO | commercial,10th_percentile |EBCBS PPO |commercial,90th_percentile |EBCBS PPO |commercial,count |EBCBS PPO|commercial,standard_charge | EBCBS PPO | commercial | methodology,additional_payer_notes | EBCBS PPO | commercial,standard_charge | Emblem GHI | commercial | negotiated_dollar,standard_charge | Emblem GHI | commercial | negotiated_percentage,standard_charge | Emblem GHI | commercial | negotiated_algorithm,median_amount |Emblem GHI | commercial,10th_percentile |Emblem GHI |commercial,90th_percentile |Emblem GHI |commercial,count |Emblem GHI |commercial,standard_charge | Emblem GHI | commercial | methodology,additional_payer_notes | Emblem GHI | commercial,standard_charge | Emblem HIP | commercial | negotiated_dollar,standard_charge | Emblem HIP | commercial | negotiated_percentage,standard_charge | Emblem HIP | commercial | negotiated_algorithm,median_amount |Emblem HIP | commercial,10th_percentile |Emblem HIP |commercial,90th_percentile |Emblem HIP |commercial,count |Emblem HIP |commercial,standard_charge | Emblem HIP | commercial | methodology,additional_payer_notes | Emblem HIP | commercial,standard_charge | Healthfirst | commercial | negotiated_dollar,standard_charge | Healthfirst | commercial | negotiated_percentage,standard_charge | Healthfirst | commercial | negotiated_algorithm,median_amount |Healthfirst | commercial,10th_percentile |Healthfirst |commercial,90th_percentile |Healthfirst |commercial,count |Healthfirst |commercial,standard_charge | Healthfirst | commercial | methodology,additional_payer_notes | Healthfirst | commercial,standard_charge | UHC Oxford | commercial | negotiated_dollar,standard_charge | UHC Oxford | commercial | negotiated_percentage,standard_charge | UHC Oxford | commercial | negotiated_algorithm,median_amount | UHC Oxford | commercial,10th_percentile | UHC Oxford |commercial,90th_percentile | UHC Oxford |commercial,count | UHC Oxford |commercial,standard_charge | UHC Oxford | commercial | methodology,additional_payer_notes | UHC Oxford | commercial,standard_charge | UHC Oxford Narrow | commercial | negotiated_dollar,standard_charge | UHC Oxford Narrow | commercial | negotiated_percentage,standard_charge | UHC Oxford Narrow | commercial | negotiated_algorithm,median_amount |UHC Oxford Narrow | commercial,10th_percentile |UHC Oxford Narrow |commercial,90th_percentile |UHC Oxford Narrow |commercial,count |UHC Oxford Narrow |commercial,standard_charge | UHC Oxford Narrow | commercial | methodology,additional_payer_notes | UHC Oxford Narrow | commercial,standard_charge | AETNA - Medicare | commercial | negotiated_dollar,standard_charge | AETNA - Medicare | commercial | negotiated_percentage,standard_charge | AETNA - Medicare | commercial | negotiated_algorithm,median_amount |AETNA - Medicare | commercial,10th_percentile |AETNA - Medicare |commercial,90th_percentile |AETNA - Medicare |commercial,count |AETNA - Medicare |commercial,standard_charge | AETNA - Medicare | commercial | methodology,additional_payer_notes | AETNA - Medicare | commercial,standard_charge | AlphaCare Medicare | commercial | negotiated_dollar,standard_charge | AlphaCare Medicare | commercial | negotiated_percentage,standard_charge | AlphaCare Medicare | commercial | negotiated_algorithm,median_amount |AlphaCare Medicare | commercial,10th_percentile |AlphaCare Medicare |commercial,90th_percentile |AlphaCare Medicare |commercial,count |AlphaCare Medicare|commercial,standard_charge | AlphaCare Medicare | commercial | methodology,additional_payer_notes | AlphaCare Medicare | commercial,standard_charge | EBCBS Medicare | commercial | negotiated_dollar,standard_charge | EBCBS Medicare | commercial | negotiated_percentage,standard_charge | EBCBS Medicare | commercial | negotiated_algorithm,median_amount |EBCBS Medicare | commercial,10th_percentile |EBCBS Medicare |commercial,90th_percentile |EBCBS Medicare |commercial,count |EBCBS Medicare |commercial,standard_charge | EBCBS Medicare | commercial | methodology,additional_payer_notes | EBCBS Medicare | commercial,standard_charge | ElderPlan Medicare | commercial | negotiated_dollar,standard_charge | ElderPlan Medicare | commercial | negotiated_percentage,standard_charge | ElderPlan Medicare | commercial | negotiated_algorithm,median_amount |ElderPlan Medicare | commercial,10th_percentile |ElderPlan Medicare |commercial,90th_percentile |ElderPlan Medicare |commercial,count |ElderPlan Medicare |commercial,standard_charge | ElderPlan Medicare | commercial | methodology,additional_payer_notes | ElderPlan Medicare | commercial,standard_charge | Emblem GHI Medicare | commercial | negotiated_dollar,standard_charge | Emblem GHI Medicare | commercial | negotiated_percentage,standard_charge | Emblem GHI Medicare | commercial | negotiated_algorithm,median_amount |Emblem GHI Medicare | commercial,10th_percentile |Emblem GHI Medicare |commercial,90th_percentile |Emblem GHI Medicare |commercial,count |Emblem GHI Medicare |commercial,standard_charge | Emblem GHI Medicare | commercial | methodology,additional_payer_notes | Emblem GHI Medicare | commercial,standard_charge | Emblem HIPI Medicare | commercial | negotiated_dollar,standard_charge | Emblem HIPI Medicare | commercial | negotiated_percentage,standard_charge | Emblem HIPI Medicare | commercial | negotiated_algorithm,median_amount |Emblem HIPI Medicare | commercial,10th_percentile |Emblem HIPI Medicare |commercial,90th_percentile |Emblem HIPI Medicare |commercial,count |Emblem HIPI Medicare |commercial,standard_charge | Emblem HIPI Medicare | commercial | methodology,additional_payer_notes | Emblem HIPI Medicare | commercial,standard_charge | Fidelis Medicare | commercial | negotiated_dollar,standard_charge | Fidelis Medicare | commercial | negotiated_percentage,standard_charge | Fidelis Medicare | commercial | negotiated_algorithm,median_amount |Fidelis Medicare | commercial,10th_percentile |Fidelis Medicare |commercial,90th_percentile |Fidelis Medicare |commercial,count |Fidelis Medicare |commercial,standard_charge | Fidelis Medicare | commercial | methodology,additional_payer_notes | Fidelis Medicare | commercial,standard_charge | Healthfirst Medicare | commercial | negotiated_dollar,standard_charge | Healthfirst Medicare | commercial | negotiated_percentage,standard_charge | Healthfirst Medicare | commercial | negotiated_algorithm,median_amount |Healthfirst Medicare | commercial,10th_percentile |Healthfirst Medicare |commercial,90th_percentile |Healthfirst Medicare |commercial,count |Healthfirst Medicare |commercial,standard_charge | Healthfirst Medicare | commercial | methodology,additional_payer_notes | Healthfirst Medicare | commercial,standard_charge | MagnaCare Medicare | commercial | negotiated_dollar,standard_charge | MagnaCare Medicare | commercial | negotiated_percentage,standard_charge | MagnaCare Medicare | commercial | negotiated_algorithm,median_amount |MagnaCare Medicare | commercial,10th_percentile |MagnaCare Medicare |commercial,90th_percentile |MagnaCare Medicare |commercial,count |MagnaCare Medicare |commercial,standard_charge | MagnaCare Medicare | commercial | methodology,additional_payer_notes | MagnaCare Medicare | commercial,standard_charge | MetroPlus Medicare | commercial | negotiated_dollar,standard_charge | MetroPlus Medicare | commercial | negotiated_percentage,standard_charge | MetroPlus Medicare | commercial | negotiated_algorithm,median_amount |MetroPlus Medicare | commercial,10th_percentile |MetroPlus Medicare |commercial,90th_percentile |MetroPlus Medicare |commercial,count |MetroPlus Medicare |commercial,standard_charge | MetroPlus Medicare | commercial | methodology,additional_payer_notes | MetroPlus Medicare | commercial,standard_charge | UHC Medicare | commercial | negotiated_dollar,standard_charge | UHC Medicare | commercial | negotiated_percentage,standard_charge | UHC Medicare | commercial | negotiated_algorithm,median_amount |UHC Medicare | commercial,10th_percentile |UHC Medicare |commercial,90th_percentile |UHC Medicare |commercial,count |UHC Medicare |commercial,standard_charge | UHC Medicare | commercial | methodology,additional_payer_notes | UHC Medicare | commercial,standard_charge | UHC Oxford Medicare | commercial | negotiated_dollar,standard_charge | UHC Oxford Medicare | commercial | negotiated_percentage,standard_charge | UHC Oxford Medicare | commercial | negotiated_algorithm,median_amount |UHC Oxford Medicare  | commercial,10th_percentile |UHC Oxford Medicare  |commercial,90th_percentile |UHC Oxford Medicare  |commercial,count |UHC Oxford Medicare  |commercial,standard_charge | UHC Oxford Medicare | commercial | methodology,additional_payer_notes | UHC Oxford Medicare | commercial,standard_charge | VNSNY Medicare | commercial | negotiated_dollar,standard_charge | VNSNY Medicare | commercial | negotiated_percentage,standard_charge | VNSNY Medicare | commercial | negotiated_algorithm,median_amount | VNSNY Medicare | commercial,10th_percentile | VNSNY Medicare |commercial,90th_percentile | VNSNY Medicare |commercial,count | VNSNY Medicare |commercial,standard_charge | VNSNY Medicare | commercial | methodology,additional_payer_notes | VNSNY Medicare | commercial,standard_charge | WellCare Medicare | commercial | negotiated_dollar,standard_charge | WellCare Medicare | commercial | negotiated_percentage,standard_charge | WellCare Medicare | commercial | negotiated_algorithm,median_amount |WellCare Medicare | commercial,10th_percentile |WellCare Medicare |commercial,90th_percentile |WellCare Medicare |commercial,count |WellCare Medicare |commercial,standard_charge | WellCare Medicare | commercial | methodology,additional_payer_notes | WellCare Medicare | commercial,standard_charge | Affinity Medicaid | commercial | negotiated_dollar,standard_charge | Affinity Medicaid | commercial | negotiated_percentage,standard_charge | Affinity Medicaid | commercial | negotiated_algorithm,median_amount |Affinity Medicaid | commercial,10th_percentile |Affinity Medicaid |commercial,90th_percentile |Affinity Medicaid |commercial,count |Affinity Medicaid |commercial,standard_charge | Affinity Medicaid | commercial | methodology,additional_payer_notes | Affinity Medicaid | commercial,standard_charge | AmidaCare Medicaid | commercial | negotiated_dollar,standard_charge | AmidaCare Medicaid | commercial | negotiated_percentage,standard_charge | AmidaCare Medicaid | commercial | negotiated_algorithm,median_amount |AmidaCare Medicaid | commercial,10th_percentile |AmidaCare Medicaid |commercial,90th_percentile |AmidaCare Medicaid |commercial,count |AmidaCare Medicaid |commercial,standard_charge | AmidaCare Medicaid | commercial | methodology,additional_payer_notes | AmidaCare Medicaid | commercial,standard_charge | EBCBS Medicaid | commercial | negotiated_dollar,standard_charge | EBCBS Medicaid | commercial | negotiated_percentage,standard_charge | EBCBS Medicaid | commercial | negotiated_algorithm,median_amount |EBCBS Medicaid | commercial,10th_percentile |EBCBS Medicaid |commercial,90th_percentile |EBCBS Medicaid |commercial,count |EBCBS Medicaid |commercial,standard_charge | EBCBS Medicaid | commercial | methodology,additional_payer_notes | EBCBS Medicaid | commercial,standard_charge | Emblem HIP Medicaid | commercial | negotiated_dollar,standard_charge | Emblem HIP Medicaid | commercial | negotiated_percentage,standard_charge | Emblem HIP Medicaid | commercial | negotiated_algorithm,median_amount |Emblem HIP Medicaid | commercial,10th_percentile |Emblem HIP Medicaid |commercial,90th_percentile |Emblem HIP Medicaid |commercial,count |Emblem HIP Medicaid |commercial,standard_charge | Emblem HIP Medicaid | commercial | methodology,additional_payer_notes | Emblem HIP Medicaid | commercial,standard_charge | Fidelis Medicaid | commercial | negotiated_dollar,standard_charge | Fidelis Medicaid | commercial | negotiated_percentage,standard_charge | Fidelis Medicaid | commercial | negotiated_algorithm,median_amount | Fidelis Medicaid | commercial,10th_percentile | Fidelis Medicaid |commercial,90th_percentile | Fidelis Medicaid |commercial,count | Fidelis Medicaid |commercial,standard_charge | Fidelis Medicaid | commercial | methodology,additional_payer_notes | Fidelis Medicaid | commercial,standard_charge | Healthfirst Medicaid | commercial | negotiated_dollar,standard_charge | Healthfirst Medicaid | commercial | negotiated_percentage,standard_charge | Healthfirst Medicaid | commercial | negotiated_algorithm,median_amount |Healthfirst Medicaid | commercial,10th_percentile |Healthfirst Medicaid |commercial,90th_percentile |Healthfirst Medicaid |commercial,count |Healthfirst Medicaid |commercial,standard_charge | Healthfirst Medicaid | commercial | methodology,additional_payer_notes | Healthfirst Medicaid | commercial,standard_charge | MagnaCare Medicaid | commercial | negotiated_dollar,standard_charge | MagnaCare Medicaid | commercial | negotiated_percentage,standard_charge | MagnaCare Medicaid | commercial | negotiated_algorithm,median_amount |MagnaCare Medicaid | commercial,10th_percentile |MagnaCare Medicaid |commercial,90th_percentile |MagnaCare Medicaid |commercial,count |MagnaCare Medicaid |commercial,standard_charge | MagnaCare Medicaid | commercial | methodology,additional_payer_notes | MagnaCare Medicaid | commercial,standard_charge | MetroPlus Medicaid | commercial | negotiated_dollar,standard_charge | MetroPlus Medicaid | commercial | negotiated_percentage,standard_charge | MetroPlus Medicaid | commercial | negotiated_algorithm,median_amount |MetroPlus Medicaid | commercial,10th_percentile |MetroPlus Medicaid |commercial,90th_percentile |MetroPlus Medicaid |commercial,count |MetroPlus Medicaid |commercial,standard_charge | MetroPlus Medicaid | commercial | methodology,additional_payer_notes | MetroPlus Medicaid | commercial,standard_charge | UHC Medicaid | commercial | negotiated_dollar,standard_charge | UHC Medicaid | commercial | negotiated_percentage,standard_charge | UHC Medicaid | commercial | negotiated_algorithm,median_amount |UHC Medicaid | commercial,10th_percentile |UHC Medicaid |commercial,90th_percentile |UHC Medicaid |commercial,count |UHC Medicaid |commercial,standard_charge | UHC Medicaid | commercial | methodology,additional_payer_notes | UHC Medicaid | commercial,standard_charge | VNSNY Medicaid | commercial | negotiated_dollar,standard_charge | VNSNY Medicaid | commercial | negotiated_percentage,standard_charge | VNSNY Medicaid | commercial | negotiated_algorithm,median_amount |VNSNY Medicaid | commercial,10th_percentile |VNSNY Medicaid |commercial,90th_percentile |VNSNY Medicaid |commercial,count |VNSNY Medicaid |commercial,standard_charge | VNSNY Medicaid | commercial | methodology,additional_payer_notes | VNSNY Medicaid | commercial,standard_charge | WellCare Medicaid | commercial | negotiated_dollar,standard_charge | WellCare Medicaid | commercial | negotiated_percentage,standard_charge | WellCare Medicaid | commercial | negotiated_algorithm,median_amount |WellCare Medicaid | commercial,10th_percentile |WellCare Medicaid |commercial,90th_percentile |Wellcare Medicaid |commercial,count |Wellcare Medicaid |commercial,standard_charge | WellCare Medicaid | commercial | methodology,additional_payer_notes | WellCare Medicaid | commercial,standard_charge | Healthfirst EP | commercial | negotiated_dollar,standard_charge | Healthfirst EP | commercial | negotiated_percentage,standard_charge | Healthfirst EP | commercial | negotiated_algorithm,median_amount |Healthfirst EP | commercial,10th_percentile |Healthfirst EP |commercial,90th_percentile |Healthfirst EP |commercial,count |Healthfirst EP |commercial,standard_charge | Healthfirst EP | commercial | methodology,additional_payer_notes | Healthfirst EP | commercial,standard_charge | min,standard_charge | max,additional_generic_notes
"003 - ECMO or trach w MV >96 hrs or PDX exc face, mouth & neck w maj O",3,MS-DRG,,inpatient,,,21128,21128,,556,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13335,,,,,,,fee schedule,,13335,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8620,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,7860,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8620,,,,,,,fee schedule,,9043,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,556,13335,
"004 - Trach w MV >96 hrs or PDX exc face, mouth & neck without maj O.R",4,MS-DRG,,inpatient,,,88085,88085,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12749,,,,,,,fee schedule,,12749,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12749,12749,
0042T - CT PERFUSION W/CONTRAST CBF,0042T,CPT,,both,,,865,865,,  ,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,347,1171,
0124A - ADM SARSCV2 BVL 30MCG/.3ML A,0124A,CPT,,both,,,37439,37439,,12255,,,,,,,case rate,,14746,,,,,,,case rate,,11905,,,,,,,case rate,,11905,,,,,,,case rate,,17065,,,,,,,case rate,,17065,,,,,,,case rate,,12738,,,,,,,case rate,,8284,,,,,,,case rate,,  ,,,,,,,case rate,,11744,,,,,,,case rate,,11744,,,,,,,case rate,,11744,,,,,,,case rate,,11979,,,,,,,case rate,,11744,,,,,,,case rate,,11744,,,,,,,case rate,,11744,,,,,,,case rate,,10922,,,,,,,case rate,,11744,,,,,,,case rate,,11744,,,,,,,case rate,,11744,,,,,,,case rate,,11744,,,,,,,case rate,,11979,,,,,,,case rate,,12566,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8284,17065,
0134A - ADM SARSCV2 BVL 50MCG/.5ML A,0134A,CPT,,both,,,13005,13005,,12274,,,,,,,case rate,,14769,,,,,,,case rate,,11923,,,,,,,case rate,,11923,,,,,,,case rate,,17092,,,,,,,case rate,,17092,,,,,,,case rate,,12757,,,,,,,case rate,,8297,,,,,,,case rate,,  ,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,11995,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,10937,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,11995,,,,,,,case rate,,12583,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8297,17092,
026 - Craniotomy & endovascular intracranial procedures with CC,26,MS-DRG,,inpatient,,,7690,7690,,79,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,4854,
029 - Spinal procedures with CC or spinal neurostimulators,29,MS-DRG,,inpatient,,,7999,7999,,206,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,194,5048,
030 - Spinal procedures without CC/MCC,30,MS-DRG,,inpatient,,,6047,6047,,608,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,552,3202,
037 - Extracranial procedures with MCC,37,MS-DRG,,inpatient,,,7824,7824,,422,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3349,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,422,4938,
038 - Extracranial procedures with CC,38,MS-DRG,,inpatient,,,1905,1905,,122,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,572,,,,,,,fee schedule,,572,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,388,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,91,572,
039 - Extracranial procedures without CC/MCC,39,MS-DRG,,inpatient,,,300,300,,30,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30,162,
"040 - Peripheral, cranial nerve and other nervous system proc with MCC",40,MS-DRG,,inpatient,,,11121,11121,,394,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,343,7019,
041 - Periph/cranial nerv & oth nerv syst proc w CC or periph neurosti,41,MS-DRG,,inpatient,,,4179,4179,,337,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,323,2637,
"042 - Peripheral, cranial nerve and other nervous syst proc w/o CC/MCC",42,MS-DRG,,inpatient,,,414,414,,92,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,92,841,
052 - Spinal disorders and injuries with CC/MCC,52,MS-DRG,,inpatient,,,2598,2598,,169,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,163,1640,
054 - Nervous system neoplasms with MCC,54,MS-DRG,,inpatient,,,497,497,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,313,
055 - Nervous system neoplasms without MCC,55,MS-DRG,,inpatient,,,627,627,,81,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,81,134,
056 - Degenerative nervous system disorders with MCC,56,MS-DRG,,inpatient,,,6165,6165,,131,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,102,3891,
057 - Degenerative nervous system disorders w/o MCC,57,MS-DRG,,inpatient,,,553,553,,21,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21,273,
058 - Multiple sclerosis & cerebellar ataxia w MCC,58,MS-DRG,,inpatient,,,52,52,,21,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,21,841,
060 - Multiple sclerosis & cerebellar ataxia w/o CC/MCC,60,MS-DRG,,inpatient,,,217,217,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,43,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,39,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,43,,,,,,,fee schedule,,45,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,39,67,
062 - Ischemic stroke/precerb occl/TIA w use of thrombolytic agnt w CC,62,MS-DRG,,inpatient,,,2717,2717,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1291,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1136,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1033,,,,,,,fee schedule,,1064,,,,,,,fee schedule,,2325,,,,,,,fee schedule,,1033,2325,
063 - Ischemic stroke/precerb occl/TIA w use of thrmbol agnt w/o CC/MC,63,MS-DRG,,inpatient,,,59,59,,100,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,180,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,159,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,149,,,,,,,fee schedule,,325,,,,,,,fee schedule,,31,325,
064 - Intracranial hemorrhage or cerebral infarction w MCC,64,MS-DRG,,inpatient,,,3331,3331,,234,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,178,2102,
065 - Intracranial Hemorrhage or Cerebral Infarct w CC or TPA in 24 Hr,65,MS-DRG,,inpatient,,,188,188,,21,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21,132,
066 - Intracranial hemorrhage or cerebral infarction w/o CC/MCC,66,MS-DRG,,inpatient,,,299,299,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,6,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,11,
067 - Nonspecific CVA & precerebral occlusion w/o infarct w MCC,67,MS-DRG,,inpatient,,,347,347,,32,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,32,313,
068 - Nonspecific CVA & precerebral occlusion w/o infarct w/o MCC,68,MS-DRG,,inpatient,,,704,704,,54,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,54,54,
069 - Transient ischemia w/o thrombolytic,69,MS-DRG,,inpatient,,,670,670,,13,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13,35,
070 - Nonspecific cerebrovascular disorders w MCC,70,MS-DRG,,inpatient,,,1557,1557,,84,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,983,
071 - Nonspecific cerebrovascular disorders w CC,71,MS-DRG,,inpatient,,,263,263,,28,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,28,132,
072 - Nonspecific cerebrovascular disorders w/o CC/MCC,72,MS-DRG,,inpatient,,,141,141,,18,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,29,
073 - Cranial & peripheral nerve disorders w MCC,73,MS-DRG,,inpatient,,,,,,364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,360,364,
074 - Cranial & peripheral nerve disorders w/o MCC,74,MS-DRG,,inpatient,,,245,245,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
077 - Hypertensive encephalopathy w MCC,77,MS-DRG,,inpatient,,,560,560,,115,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,115,354,
078 - Hypertensive encephalopathy w CC,78,MS-DRG,,inpatient,,,316,316,,21,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21,132,
080 - Nontraumatic stupor & coma w MCC,80,MS-DRG,,inpatient,,,4179,4179,,292,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,292,2637,
081 - Nontraumatic stupor & coma w/o MCC,81,MS-DRG,,inpatient,,,239,239,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,51,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,46,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,78,
082 - Traumatic stupor and coma >1 hour with MCC,82,MS-DRG,,inpatient,,,4730,4730,,527,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,504,3202,
083 - Traumatic stupor and coma >1 hour with CC,83,MS-DRG,,inpatient,,,658,658,,212,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,130,264,
091 - Other disorders of nervous system w MCC,91,MS-DRG,,inpatient,,,1790,1790,,38,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,38,983,
092 - Other disorders of nervous system w CC,92,MS-DRG,,inpatient,,,267,267,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
093 - Other disorders of nervous system w/o CC/MCC,93,MS-DRG,,inpatient,,,50,50,,26,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,26,
094 - Bacterial & tuberculous infections of nervous system w MCC,94,MS-DRG,,inpatient,,,8498,8498,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,915,5364,
095 - Bacterial & tuberculous infections of nervous system w CC,95,MS-DRG,,inpatient,,,8014,8014,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3879,,,,,,,fee schedule,,3879,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3879,3879,
096 - Bacterial & tuberculous infections of nervous system w/o CC/MCC,96,MS-DRG,,inpatient,,,4141,4141,,431,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,431,2613,
098 - Non-bacterial infect of nervous sys exc viral meningitis w CC,98,MS-DRG,,inpatient,,,4141,4141,,332,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,332,2613,
099 - Non-bacterial infect of nerv sys exc viral meningitis w/o CC/MCC,99,MS-DRG,,inpatient,,,188,188,,69,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,24,253,
100 - Seizures w MCC,100,MS-DRG,,inpatient,,,9540,9540,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,996,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,876,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,820,,,,,,,fee schedule,,1792,,,,,,,fee schedule,,797,1792,
10005 - FNA BX W/US GDN 1ST LES,10005,CPT,,both,,,1889,1889,,62,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,661,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,582,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,545,,,,,,,fee schedule,,1190,,,,,,,fee schedule,,50,1880,
10006 - FNA BX W/US GDN EA ADDL,10006,CPT,,both,,,1889,1889,,42,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,661,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,582,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,545,,,,,,,fee schedule,,1190,,,,,,,fee schedule,,42,1880,
10007 - FNA BX W/FLUOR GDN 1ST LES,10007,CPT,,both,,,1889,1889,,80,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,661,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,582,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,545,,,,,,,fee schedule,,1190,,,,,,,fee schedule,,80,1880,
10021 - FNA BX W/O IMG GDN 1ST LES,10021,CPT,,both,,,909,909,,60,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,661,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,582,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,545,,,,,,,fee schedule,,1190,,,,,,,fee schedule,,60,1880,
10060 - DRAINAGE OF SKIN ABSCESS,10060,CPT,,both,,,593,593,,83,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,80,1880,
10061 - DRAINAGE OF SKIN ABSCESS,10061,CPT,,both,,,710,710,,154,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,154,1880,
10080 - DRAINAGE OF PILONIDAL CYST,10080,CPT,,both,,,800,800,,89,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,84,1880,
10081 - DRAINAGE OF PILONIDAL CYST,10081,CPT,,both,,,1159,1159,,146,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,790,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,146,1880,
101 - Seizures w/o MCC,101,MS-DRG,,inpatient,,,100,100,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,79,,,,,,,fee schedule,,79,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,51,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,46,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,79,
10120 - REMOVE FOREIGN BODY,10120,CPT,,both,,,1909,1909,,89,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,69,1880,
10121 - REMOVE FOREIGN BODY,10121,CPT,,both,,,3598,3598,,160,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,160,2271,
10140 - DRAINAGE OF HEMATOMA/FLUID,10140,CPT,,both,,,2017,2017,,102,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,790,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,632,,,,,,,fee schedule,,632,,,,,,,fee schedule,,632,,,,,,,fee schedule,,632,,,,,,,fee schedule,,632,,,,,,,fee schedule,,632,,,,,,,fee schedule,,695,,,,,,,fee schedule,,632,,,,,,,fee schedule,,632,,,,,,,fee schedule,,632,,,,,,,fee schedule,,651,,,,,,,fee schedule,,1421,,,,,,,fee schedule,,102,2271,
10160 - PUNCTURE DRAINAGE OF LESION,10160,CPT,,both,,,870,870,,82,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,71,1880,
103 - Headaches w/o MCC,103,MS-DRG,,inpatient,,,109,109,,48,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,48,90,
11012 - DEB SKIN BONE AT FX SITE,11012,CPT,,both,,,382228,382228,,334899,,,,,,,case rate,,402961,,,,,,,case rate,,325326,,,,,,,case rate,,325326,,,,,,,case rate,,466339,,,,,,,case rate,,466339,,,,,,,case rate,,348075,,,,,,,case rate,,226379,,,,,,,case rate,,  ,,,,,,,case rate,,285094,,,,,,,case rate,,285094,,,,,,,case rate,,285094,,,,,,,case rate,,290796,,,,,,,case rate,,285094,,,,,,,case rate,,285094,,,,,,,case rate,,285094,,,,,,,case rate,,265138,,,,,,,case rate,,285094,,,,,,,case rate,,285094,,,,,,,case rate,,285094,,,,,,,case rate,,285094,,,,,,,case rate,,290796,,,,,,,case rate,,305051,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,226379,466339,
11042 - DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,,both,,,2025,2025,,53,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,351,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,309,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,290,,,,,,,fee schedule,,632,,,,,,,fee schedule,,53,1965,
11043 - DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,,both,,,1394,1394,,135,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1111,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,519,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,597,,,,,,,fee schedule,,889,,,,,,,fee schedule,,889,,,,,,,fee schedule,,889,,,,,,,fee schedule,,889,,,,,,,fee schedule,,889,,,,,,,fee schedule,,889,,,,,,,fee schedule,,978,,,,,,,fee schedule,,889,,,,,,,fee schedule,,889,,,,,,,fee schedule,,889,,,,,,,fee schedule,,915,,,,,,,fee schedule,,2000,,,,,,,fee schedule,,135,2000,
11044 - DEB BONE 20 SQ CM/<,11044,CPT,,both,,,3598,3598,,201,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1448,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1158,,,,,,,fee schedule,,1193,,,,,,,fee schedule,,2606,,,,,,,fee schedule,,201,2606,
11045 - DEB SUBQ TISSUE ADD-ON,11045,CPT,,both,,,10910,10910,,10297,,,,,,,case rate,,12389,,,,,,,case rate,,10002,,,,,,,case rate,,10002,,,,,,,case rate,,14338,,,,,,,case rate,,14338,,,,,,,case rate,,10702,,,,,,,case rate,,6960,,,,,,,case rate,,  ,,,,,,,case rate,,10084,,,,,,,case rate,,10084,,,,,,,case rate,,10084,,,,,,,case rate,,10286,,,,,,,case rate,,10084,,,,,,,case rate,,10084,,,,,,,case rate,,10084,,,,,,,case rate,,9378,,,,,,,case rate,,10084,,,,,,,case rate,,10084,,,,,,,case rate,,10084,,,,,,,case rate,,10084,,,,,,,case rate,,10286,,,,,,,case rate,,10790,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6960,14338,
11055 - TRIM SKIN LESION,11055,CPT,,both,,,386,386,,13,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,1,1880,
11056 - TRIM SKIN LESIONS 2 TO 4,11056,CPT,,both,,,399,399,,19,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,19,1880,
11057 - TRIM SKIN LESIONS OVER 4,11057,CPT,,both,,,409,409,,25,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,25,1880,
11102 - TANGNTL BX SKIN SINGLE LES,11102,CPT,,both,,,985,985,,34,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,28,1880,
11103 - TANGNTL BX SKIN EA SEP/ADDL,11103,CPT,,both,,,985,985,,20,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,20,1880,
11104 - PUNCH BX SKIN SINGLE LESION,11104,CPT,,both,,,985,985,,43,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,43,1880,
11105 - PUNCH BX SKIN EA SEP/ADDL,11105,CPT,,both,,,985,985,,23,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,23,1880,
11106 - INCAL BX SKN SINGLE LES,11106,CPT,,both,,,985,985,,52,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,519,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,597,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,52,1880,
11107 - INCAL BX SKN EA SEP/ADDL,11107,CPT,,both,,,24541,24541,,12340,,,,,,,case rate,,14848,,,,,,,case rate,,11987,,,,,,,case rate,,11987,,,,,,,case rate,,17183,,,,,,,case rate,,17183,,,,,,,case rate,,12826,,,,,,,case rate,,8342,,,,,,,case rate,,  ,,,,,,,case rate,,11816,,,,,,,case rate,,11816,,,,,,,case rate,,11816,,,,,,,case rate,,12052,,,,,,,case rate,,11816,,,,,,,case rate,,11816,,,,,,,case rate,,11816,,,,,,,case rate,,10989,,,,,,,case rate,,11816,,,,,,,case rate,,11816,,,,,,,case rate,,11816,,,,,,,case rate,,11816,,,,,,,case rate,,12052,,,,,,,case rate,,12643,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8342,17183,
11200 - REMOVAL OF SKIN TAGS <W/15,11200,CPT,,both,,,591,591,,63,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,27,1880,
11201 - REMOVE SKIN TAGS ADD-ON,11201,CPT,,both,,,210,210,,14,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,14,1880,
113 - Orbital procedures w CC/MCC,113,MS-DRG,,inpatient,,,6198,6198,,277,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,273,3912,
11300 - SHAVE SKIN LESION 0.5 CM/<,11300,CPT,,both,,,134,134,,30,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,30,1880,
11301 - SHAVE SKIN LESION 0.6-1.0 CM,11301,CPT,,both,,,3606,3606,,46,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,46,1880,
11305 - SHAVE SKIN LESION 0.5 CM/<,11305,CPT,,both,,,512,512,,33,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,33,1880,
11310 - SHAVE SKIN LESION 0.5 CM/<,11310,CPT,,both,,,318,318,,41,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,41,1880,
114 - Orbital procedures w/o CC/MCC,114,MS-DRG,,inpatient,,,216,216,,51,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,45,220,
11400 - EXC TR-EXT B9+MARG 0.5 CM<,11400,CPT,,both,,,2406,2406,,69,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,69,1880,
11401 - EXC TR-EXT B9+MARG 0.6-1 CM,11401,CPT,,both,,,2381,2381,,89,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,89,1880,
11402 - EXC TR-EXT B9+MARG 1.1-2 CM,11402,CPT,,both,,,1267,1267,,99,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,99,1880,
11403 - EXC TR-EXT B9+MARG 2.1-3CM,11403,CPT,,both,,,1557,1557,,128,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,128,1880,
11404 - EXC TR-EXT B9+MARG 3.1-4 CM,11404,CPT,,both,,,3598,3598,,142,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,142,2271,
11406 - EXC TR-EXT B9+MARG >4.0 CM,11406,CPT,,both,,,4273,4273,,217,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,197,2835,
11420 - EXC H-F-NK-SP B9+MARG 0.5/<,11420,CPT,,both,,,3260,3260,,70,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,70,2271,
11421 - EXC H-F-NK-SP B9+MARG 0.6-1,11421,CPT,,both,,,1557,1557,,95,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,95,1965,
11422 - EXC H-F-NK-SP B9+MARG 1.1-2,11422,CPT,,both,,,4021,4021,,117,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,117,2271,
11423 - EXC H-F-NK-SP B9+MARG 2.1-3,11423,CPT,,both,,,3598,3598,,136,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,136,2271,
11424 - EXC H-F-NK-SP B9+MARG 3.1-4,11424,CPT,,both,,,4021,4021,,156,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,156,2835,
11426 - EXC H-F-NK-SP B9+MARG >4 CM,11426,CPT,,both,,,3000,3000,,240,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,240,3912,
11440 - EXC FACE-MM B9+MARG 0.5 CM/<,11440,CPT,,both,,,1065,1065,,89,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,89,1965,
11441 - EXC FACE-MM B9+MARG 0.6-1 CM,11441,CPT,,both,,,1065,1065,,114,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,114,1965,
11442 - EXC FACE-MM B9+MARG 1.1-2 CM,11442,CPT,,both,,,1993,1993,,126,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,126,1965,
11443 - EXC FACE-MM B9+MARG 2.1-3 CM,11443,CPT,,both,,,3598,3598,,155,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,155,3230,
11444 - EXC FACE-MM B9+MARG 3.1-4 CM,11444,CPT,,both,,,3598,3598,,197,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,197,3230,
11446 - EXC FACE-MM B9+MARG >4 CM,11446,CPT,,both,,,6198,6198,,283,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,283,3912,
11450 - REMOVAL SWEAT GLAND LESION,11450,CPT,,both,,,29102,29102,,31463,,,,,,,case rate,,37857,,,,,,,case rate,,30564,,,,,,,case rate,,30564,,,,,,,case rate,,43812,,,,,,,case rate,,43812,,,,,,,case rate,,32701,,,,,,,case rate,,21268,,,,,,,case rate,,  ,,,,,,,case rate,,28017,,,,,,,case rate,,28017,,,,,,,case rate,,28017,,,,,,,case rate,,28577,,,,,,,case rate,,28017,,,,,,,case rate,,28017,,,,,,,case rate,,28017,,,,,,,case rate,,26056,,,,,,,case rate,,28017,,,,,,,case rate,,28017,,,,,,,case rate,,28017,,,,,,,case rate,,28017,,,,,,,case rate,,28577,,,,,,,case rate,,29978,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21268,43812,
11451 - REMOVAL SWEAT GLAND LESION,11451,CPT,,both,,,29607,29607,,31480,,,,,,,case rate,,37878,,,,,,,case rate,,30581,,,,,,,case rate,,30581,,,,,,,case rate,,43836,,,,,,,case rate,,43836,,,,,,,case rate,,32719,,,,,,,case rate,,21280,,,,,,,case rate,,  ,,,,,,,case rate,,28032,,,,,,,case rate,,28032,,,,,,,case rate,,28032,,,,,,,case rate,,28592,,,,,,,case rate,,28032,,,,,,,case rate,,28032,,,,,,,case rate,,28032,,,,,,,case rate,,26069,,,,,,,case rate,,28032,,,,,,,case rate,,28032,,,,,,,case rate,,28032,,,,,,,case rate,,28032,,,,,,,case rate,,28592,,,,,,,case rate,,29994,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21280,43836,
115 - Extraocular procedures except orbit,115,MS-DRG,,inpatient,,,2914,2914,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,422,,,,,,,fee schedule,,422,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,267,,,,,,,fee schedule,,267,,,,,,,fee schedule,,267,,,,,,,fee schedule,,273,,,,,,,fee schedule,,267,,,,,,,fee schedule,,267,,,,,,,fee schedule,,267,,,,,,,fee schedule,,248,,,,,,,fee schedule,,267,,,,,,,fee schedule,,267,,,,,,,fee schedule,,267,,,,,,,fee schedule,,267,,,,,,,fee schedule,,273,,,,,,,fee schedule,,286,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,248,422,
116 - Intraocular procedures w CC/MCC,116,MS-DRG,,inpatient,,,,,,1242,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,977,1242,
11601 - EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,,both,,,812,812,,129,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,129,1965,
11602 - EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,,both,,,812,812,,142,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,142,1965,
11604 - EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,,both,,,53902,53902,,25068,,,,,,,case rate,,30163,,,,,,,case rate,,24352,,,,,,,case rate,,24352,,,,,,,case rate,,34907,,,,,,,case rate,,34907,,,,,,,case rate,,26055,,,,,,,case rate,,16945,,,,,,,case rate,,  ,,,,,,,case rate,,22599,,,,,,,case rate,,22599,,,,,,,case rate,,22599,,,,,,,case rate,,23051,,,,,,,case rate,,22599,,,,,,,case rate,,22599,,,,,,,case rate,,22599,,,,,,,case rate,,21017,,,,,,,case rate,,22599,,,,,,,case rate,,22599,,,,,,,case rate,,22599,,,,,,,case rate,,22599,,,,,,,case rate,,23051,,,,,,,case rate,,24181,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16945,34907,
11606 - EXC TR-EXT MAL+MARG >4 CM,11606,CPT,,both,,,2128,2128,,280,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,228,3230,
11626 - EXC S/N/H/F/G MAL+MRG >4 CM,11626,CPT,,both,,,27837,27837,,31546,,,,,,,case rate,,37958,,,,,,,case rate,,30645,,,,,,,case rate,,30645,,,,,,,case rate,,43928,,,,,,,case rate,,43928,,,,,,,case rate,,32788,,,,,,,case rate,,21324,,,,,,,case rate,,  ,,,,,,,case rate,,28088,,,,,,,case rate,,28088,,,,,,,case rate,,28088,,,,,,,case rate,,28649,,,,,,,case rate,,28088,,,,,,,case rate,,28088,,,,,,,case rate,,28088,,,,,,,case rate,,26121,,,,,,,case rate,,28088,,,,,,,case rate,,28088,,,,,,,case rate,,28088,,,,,,,case rate,,28088,,,,,,,case rate,,28649,,,,,,,case rate,,30054,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21324,43928,
11640 - EXC F/E/E/N/L MAL+MRG 0.5CM<,11640,CPT,,both,,,22133,22133,,24951,,,,,,,case rate,,30021,,,,,,,case rate,,24237,,,,,,,case rate,,24237,,,,,,,case rate,,34743,,,,,,,case rate,,34743,,,,,,,case rate,,25932,,,,,,,case rate,,16866,,,,,,,case rate,,  ,,,,,,,case rate,,22500,,,,,,,case rate,,22500,,,,,,,case rate,,22500,,,,,,,case rate,,22950,,,,,,,case rate,,22500,,,,,,,case rate,,22500,,,,,,,case rate,,22500,,,,,,,case rate,,20925,,,,,,,case rate,,22500,,,,,,,case rate,,22500,,,,,,,case rate,,22500,,,,,,,case rate,,22500,,,,,,,case rate,,22950,,,,,,,case rate,,24074,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16866,34743,
11642 - EXC F/E/E/N/L MAL+MRG 1.1-2,11642,CPT,,both,,,1557,1557,,160,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,160,1965,
11646 - EXC F/E/E/N/L MAL+MRG >4 CM,11646,CPT,,both,,,6198,6198,,346,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,346,3912,
117 - Intraocular procedures w/o CC/MCC,117,MS-DRG,,inpatient,,,280,280,,66,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,115,,,,,,,fee schedule,,115,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,68,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,78,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,66,184,
11720 - DEBRIDE NAIL 1-5,11720,CPT,,both,,,177,177,,12,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,154,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,136,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,127,,,,,,,fee schedule,,278,,,,,,,fee schedule,,12,1880,
11721 - DEBRIDE NAIL 6 OR MORE,11721,CPT,,both,,,243,243,,20,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,142,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,125,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,117,,,,,,,fee schedule,,255,,,,,,,fee schedule,,20,1880,
11730 - REMOVAL OF NAIL PLATE,11730,CPT,,both,,,811,811,,41,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,41,1880,
11740 - DRAIN BLOOD FROM UNDER NAIL,11740,CPT,,both,,,602,602,,27,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,154,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,136,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,127,,,,,,,fee schedule,,278,,,,,,,fee schedule,,22,1880,
11750 - REMOVAL OF NAIL BED,11750,CPT,,both,,,936,936,,115,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,115,4134,
11760 - REPAIR OF NAIL BED,11760,CPT,,both,,,1097,1097,,96,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,519,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,597,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,96,1880,
11770 - REMOVE PILONIDAL CYST SIMPLE,11770,CPT,,both,,,6198,6198,,163,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,163,3912,
11771 - REMOVE PILONIDAL CYST EXTEN,11771,CPT,,both,,,6198,6198,,384,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,384,3912,
11772 - REMOVE PILONIDAL CYST COMPL,11772,CPT,,both,,,12870,12870,,32139,,,,,,,case rate,,38670,,,,,,,case rate,,31220,,,,,,,case rate,,31220,,,,,,,case rate,,44752,,,,,,,case rate,,44752,,,,,,,case rate,,33403,,,,,,,case rate,,21724,,,,,,,case rate,,  ,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,29161,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,26588,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,29161,,,,,,,case rate,,30591,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21724,44752,
11900 - INJECT SKIN LESIONS </W 7,11900,CPT,,both,,,558,558,,27,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,27,1880,
11901 - INJECT SKIN LESIONS >7,11901,CPT,,both,,,316,316,,42,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,42,4134,
11970 - RPLCMT TISS XPNDR PERM IMPLT,11970,CPT,,both,,,15871,15871,,530,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1765,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1653,,,,,,,fee schedule,,3610,,,,,,,fee schedule,,530,10017,
11971 - RMVL TIS XPNDR WO INSJ IMPLT,11971,CPT,,both,,,36573,36573,,32016,,,,,,,case rate,,38523,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,44582,,,,,,,case rate,,44582,,,,,,,case rate,,33276,,,,,,,case rate,,21642,,,,,,,case rate,,  ,,,,,,,case rate,,28486,,,,,,,case rate,,28486,,,,,,,case rate,,28486,,,,,,,case rate,,29055,,,,,,,case rate,,28486,,,,,,,case rate,,28486,,,,,,,case rate,,28486,,,,,,,case rate,,26492,,,,,,,case rate,,28486,,,,,,,case rate,,28486,,,,,,,case rate,,28486,,,,,,,case rate,,28486,,,,,,,case rate,,29055,,,,,,,case rate,,30479,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21642,44582,
11976 - REMOVE CONTRACEPTIVE CAPSULE,11976,CPT,,both,,,1787,1787,,80,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,80,1880,
11981 - INSERTION DRUG DLVR IMPLANT,11981,CPT,,both,,,332,332,,72,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,72,1880,
11982 - REMOVE DRUG IMPLANT DEVICE,11982,CPT,,both,,,906,906,,87,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,572,,,,,,,fee schedule,,572,,,,,,,fee schedule,,121,,,,,,,fee schedule,,121,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,388,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,87,1880,
11983 - REMOVE/INSERT DRUG IMPLANT,11983,CPT,,both,,,443,443,,149,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,572,,,,,,,fee schedule,,572,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,976,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,388,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,149,1880,
12001 - RPR S/N/AX/GEN/TRNK 2.5CM/<,12001,CPT,,both,,,560,560,,38,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,38,1965,
12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM,12002,CPT,,both,,,797,797,,50,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,50,1965,
12004 - RPR S/N/AX/GEN/TRK7.6-12.5CM,12004,CPT,,both,,,417,417,,63,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,63,1965,
12011 - RPR F/E/E/N/L/M 2.5 CM/<,12011,CPT,,both,,,382,382,,47,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,47,1965,
12013 - RPR F/E/E/N/L/M 2.6-5.0 CM,12013,CPT,,both,,,382,382,,50,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,50,1965,
12017 - RPR FE/E/EN/L/M 20.1-30.0 CM,12017,CPT,,both,,,20427,20427,,21404,,,,,,,case rate,,25754,,,,,,,case rate,,20792,,,,,,,case rate,,20792,,,,,,,case rate,,29804,,,,,,,case rate,,29804,,,,,,,case rate,,22246,,,,,,,case rate,,14468,,,,,,,case rate,,  ,,,,,,,case rate,,19495,,,,,,,case rate,,19495,,,,,,,case rate,,19495,,,,,,,case rate,,19884,,,,,,,case rate,,19495,,,,,,,case rate,,19495,,,,,,,case rate,,19495,,,,,,,case rate,,18130,,,,,,,case rate,,19495,,,,,,,case rate,,19495,,,,,,,case rate,,19495,,,,,,,case rate,,19495,,,,,,,case rate,,19884,,,,,,,case rate,,20859,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14468,29804,
12020 - CLOSURE OF SPLIT WOUND,12020,CPT,,both,,,1394,1394,,171,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1052,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,519,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,597,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,926,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,867,,,,,,,fee schedule,,1893,,,,,,,fee schedule,,171,1893,
12031 - INTMD RPR S/A/T/EXT 2.5 CM/<,12031,CPT,,both,,,493,493,,133,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,126,1965,
12032 - INTMD RPR S/A/T/EXT 2.6-7.5,12032,CPT,,both,,,493,493,,169,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,162,1965,
12034 - INTMD RPR S/TR/EXT 7.6-12.5,12034,CPT,,both,,,493,493,,180,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1052,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,180,1965,
12035 - INTMD RPR S/A/T/EXT 12.6-20,12035,CPT,,both,,,30351,30351,,21413,,,,,,,case rate,,25765,,,,,,,case rate,,20801,,,,,,,case rate,,20801,,,,,,,case rate,,29817,,,,,,,case rate,,29817,,,,,,,case rate,,22256,,,,,,,case rate,,14474,,,,,,,case rate,,  ,,,,,,,case rate,,19503,,,,,,,case rate,,19503,,,,,,,case rate,,19503,,,,,,,case rate,,19893,,,,,,,case rate,,19503,,,,,,,case rate,,19503,,,,,,,case rate,,19503,,,,,,,case rate,,18137,,,,,,,case rate,,19503,,,,,,,case rate,,19503,,,,,,,case rate,,19503,,,,,,,case rate,,19503,,,,,,,case rate,,19893,,,,,,,case rate,,20868,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14474,29817,
12041 - INTMD RPR N-HF/GENIT 2.5CM/<,12041,CPT,,both,,,636,636,,130,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,560,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,448,,,,,,,fee schedule,,448,,,,,,,fee schedule,,448,,,,,,,fee schedule,,448,,,,,,,fee schedule,,448,,,,,,,fee schedule,,448,,,,,,,fee schedule,,493,,,,,,,fee schedule,,448,,,,,,,fee schedule,,448,,,,,,,fee schedule,,448,,,,,,,fee schedule,,461,,,,,,,fee schedule,,1008,,,,,,,fee schedule,,130,4134,
12042 - INTMD RPR N-HF/GENIT2.6-7.5,12042,CPT,,both,,,591,591,,174,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,174,1965,
12051 - INTMD RPR FACE/MM 2.5 CM/<,12051,CPT,,both,,,503,503,,149,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,149,1965,
12052 - INTMD RPR FACE/MM 2.6-5.0 CM,12052,CPT,,both,,,493,493,,177,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,177,1965,
12053 - INTMD RPR FACE/MM 5.1-7.5 CM,12053,CPT,,both,,,493,493,,189,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,189,1965,
121 - Acute major eye infections w CC/MCC,121,MS-DRG,,inpatient,,,366,366,,35,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,131,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,115,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,108,,,,,,,fee schedule,,236,,,,,,,fee schedule,,31,236,
122 - Acute major eye infections w/o CC/MCC,122,MS-DRG,,inpatient,,,591,591,,19,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19,19,
123 - Neurological eye disorders,123,MS-DRG,,inpatient,,,79,79,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,25,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,23,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,25,,,,,,,fee schedule,,26,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,23,38,
124 - Other disorders of the eye w MCC,124,MS-DRG,,inpatient,,,105,105,,29,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,29,253,
125 - Other disorders of the eye w/o MCC,125,MS-DRG,,inpatient,,,113,113,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,22,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,20,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,22,,,,,,,fee schedule,,23,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20,33,
13131 - CMPLX RPR F/C/C/M/N/AX/G/H/F,13131,CPT,,both,,,895,895,,217,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,217,1965,
13151 - CMPLX RPR E/N/E/L 1.1-2.5 CM,13151,CPT,,both,,,1394,1394,,250,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1052,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,519,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,597,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,926,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,841,,,,,,,fee schedule,,867,,,,,,,fee schedule,,1893,,,,,,,fee schedule,,250,3535,
13160 - LATE CLOSURE OF WOUND,13160,CPT,,both,,,4141,4141,,706,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1641,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1536,,,,,,,fee schedule,,3356,,,,,,,fee schedule,,706,3356,
138 - Mouth procedures w/o CC/MCC,138,MS-DRG,,inpatient,,,90,90,,37,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,53,
14000 - TIS TRNFR TRUNK 10 SQ CM/<,14000,CPT,,both,,,28109,28109,,28738,,,,,,,case rate,,34578,,,,,,,case rate,,27916,,,,,,,case rate,,27916,,,,,,,case rate,,40017,,,,,,,case rate,,40017,,,,,,,case rate,,29868,,,,,,,case rate,,19426,,,,,,,case rate,,  ,,,,,,,case rate,,25708,,,,,,,case rate,,25708,,,,,,,case rate,,25708,,,,,,,case rate,,26222,,,,,,,case rate,,25708,,,,,,,case rate,,25708,,,,,,,case rate,,25708,,,,,,,case rate,,23909,,,,,,,case rate,,25708,,,,,,,case rate,,25708,,,,,,,case rate,,25708,,,,,,,case rate,,25708,,,,,,,case rate,,26222,,,,,,,case rate,,27508,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19426,40017,
14021 - TIS TRNFR S/A/L 10.1-30 SQCM,14021,CPT,,both,,,4141,4141,,625,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,625,4056,
14040 - TIS TRNFR F/C/C/M/N/A/G/H/F,14040,CPT,,both,,,4141,4141,,549,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,549,4056,
14041 - TIS TRNFR F/C/C/M/N/A/G/H/F,14041,CPT,,both,,,4141,4141,,676,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,676,4056,
14060 - TIS TRNFR E/N/E/L 10 SQ CM/<,14060,CPT,,both,,,4032,4032,,585,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1765,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1653,,,,,,,fee schedule,,3610,,,,,,,fee schedule,,320,3610,
14061 - TIS TRNFR E/N/E/L10.1-30SQCM,14061,CPT,,both,,,32371,32371,,28934,,,,,,,case rate,,34814,,,,,,,case rate,,28107,,,,,,,case rate,,28107,,,,,,,case rate,,40290,,,,,,,case rate,,40290,,,,,,,case rate,,30072,,,,,,,case rate,,19558,,,,,,,case rate,,  ,,,,,,,case rate,,25874,,,,,,,case rate,,25874,,,,,,,case rate,,25874,,,,,,,case rate,,26392,,,,,,,case rate,,25874,,,,,,,case rate,,25874,,,,,,,case rate,,25874,,,,,,,case rate,,24063,,,,,,,case rate,,25874,,,,,,,case rate,,25874,,,,,,,case rate,,25874,,,,,,,case rate,,25874,,,,,,,case rate,,26392,,,,,,,case rate,,27686,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19558,40290,
142 - Major head and neck procedures without CC/MCC,142,MS-DRG,,inpatient,,,733,733,,96,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,192,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,221,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,96,395,
"143 - Other ear, nose, mouth and throat O.R. procedures with MCC",143,MS-DRG,,inpatient,,,7805,7805,,368,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,368,4926,
14301 - TIS TRNFR ANY 30.1-60 SQ CM,14301,CPT,,both,,,7805,7805,,770,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,770,4926,
14302 - TIS TRNFR ADDL 30 SQ CM,14302,CPT,,both,,,,,,194,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,194,4056,
"144 - Other ear, nose, mouth and throat O.R. procedures with CC",144,MS-DRG,,inpatient,,,433,433,,50,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,50,841,
"145 - Other ear, nose, mouth and throat O.R. procedures without CC/MCC",145,MS-DRG,,inpatient,,,545,545,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,218,218,
"146 - Ear, nose, mouth & throat malignancy w MCC",146,MS-DRG,,inpatient,,,4517,4517,,708,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,2271,
149 - Dysequilibrium,149,MS-DRG,,inpatient,,,29,29,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,11,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,13,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,19,
15002 - WOUND PREP TRK/ARM/LEG,15002,CPT,,both,,,4141,4141,,199,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,199,3230,
15003 - WOUND PREP ADDL 100 CM,15003,CPT,,both,,,,,,40,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,40,4134,
15004 - WOUND PREP F/N/HF/G,15004,CPT,,both,,,1394,1394,,234,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,880,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,519,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,569,,,,,,,fee schedule,,597,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,234,1880,
151 - Epistaxis w/o MCC,151,MS-DRG,,inpatient,,,50,50,,25,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,25,25,
15100 - SKIN SPLT GRFT TRNK/ARM/LEG,15100,CPT,,both,,,4141,4141,,628,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,628,4056,
15101 - SKIN SPLT GRFT T/A/L ADD-ON,15101,CPT,,both,,,12211,12211,,15179,,,,,,,case rate,,18263,,,,,,,case rate,,14745,,,,,,,case rate,,14745,,,,,,,case rate,,21136,,,,,,,case rate,,21136,,,,,,,case rate,,15776,,,,,,,case rate,,10260,,,,,,,case rate,,  ,,,,,,,case rate,,14221,,,,,,,case rate,,14221,,,,,,,case rate,,14221,,,,,,,case rate,,14505,,,,,,,case rate,,14221,,,,,,,case rate,,14221,,,,,,,case rate,,14221,,,,,,,case rate,,13225,,,,,,,case rate,,14221,,,,,,,case rate,,14221,,,,,,,case rate,,14221,,,,,,,case rate,,14221,,,,,,,case rate,,14505,,,,,,,case rate,,15216,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10260,21136,
15120 - SKN SPLT A-GRFT FAC/NCK/HF/G,15120,CPT,,both,,,7805,7805,,609,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,609,4926,
152 - Otitis media & URI w MCC,152,MS-DRG,,inpatient,,,480,480,,73,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,177,
15200 - SKIN FULL GRAFT TRUNK,15200,CPT,,both,,,20849,20849,,28758,,,,,,,case rate,,34603,,,,,,,case rate,,27936,,,,,,,case rate,,27936,,,,,,,case rate,,40045,,,,,,,case rate,,40045,,,,,,,case rate,,29890,,,,,,,case rate,,19439,,,,,,,case rate,,  ,,,,,,,case rate,,25725,,,,,,,case rate,,25725,,,,,,,case rate,,25725,,,,,,,case rate,,26240,,,,,,,case rate,,25725,,,,,,,case rate,,25725,,,,,,,case rate,,25725,,,,,,,case rate,,23925,,,,,,,case rate,,25725,,,,,,,case rate,,25725,,,,,,,case rate,,25725,,,,,,,case rate,,25725,,,,,,,case rate,,26240,,,,,,,case rate,,27526,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19439,40045,
15201 - SKIN FULL GRAFT TRUNK ADD-ON,15201,CPT,,both,,,14604,14604,,12568,,,,,,,case rate,,15122,,,,,,,case rate,,12209,,,,,,,case rate,,12209,,,,,,,case rate,,17501,,,,,,,case rate,,17501,,,,,,,case rate,,13062,,,,,,,case rate,,8495,,,,,,,case rate,,  ,,,,,,,case rate,,12009,,,,,,,case rate,,12009,,,,,,,case rate,,12009,,,,,,,case rate,,12249,,,,,,,case rate,,12009,,,,,,,case rate,,12009,,,,,,,case rate,,12009,,,,,,,case rate,,11168,,,,,,,case rate,,12009,,,,,,,case rate,,12009,,,,,,,case rate,,12009,,,,,,,case rate,,12009,,,,,,,case rate,,12249,,,,,,,case rate,,12849,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8495,17501,
15240 - SKIN FULL GRFT FACE/GENIT/HF,15240,CPT,,both,,,4141,4141,,698,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1641,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1536,,,,,,,fee schedule,,3356,,,,,,,fee schedule,,698,3535,
15260 - SKIN FULL GRAFT EEN & LIPS,15260,CPT,,both,,,4742,4742,,746,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,647,,,,,,,fee schedule,,647,,,,,,,fee schedule,,1641,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1444,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1352,,,,,,,fee schedule,,2953,,,,,,,fee schedule,,647,2953,
15271 - SKIN SUB GRAFT TRNK/ARM/LEG,15271,CPT,,both,,,5272,5272,,73,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1641,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1444,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1352,,,,,,,fee schedule,,2953,,,,,,,fee schedule,,73,2953,
15273 - SKIN SUB GRFT T/ARM/LG CHILD,15273,CPT,,both,,,29166,29166,,36926,,,,,,,case rate,,44431,,,,,,,case rate,,35871,,,,,,,case rate,,35871,,,,,,,case rate,,51419,,,,,,,case rate,,51419,,,,,,,case rate,,38379,,,,,,,case rate,,24961,,,,,,,case rate,,  ,,,,,,,case rate,,32646,,,,,,,case rate,,32646,,,,,,,case rate,,32646,,,,,,,case rate,,33299,,,,,,,case rate,,32646,,,,,,,case rate,,32646,,,,,,,case rate,,32646,,,,,,,case rate,,30360,,,,,,,case rate,,32646,,,,,,,case rate,,32646,,,,,,,case rate,,32646,,,,,,,case rate,,32646,,,,,,,case rate,,33299,,,,,,,case rate,,34931,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24961,51419,
15275 - SKIN SUB GRAFT FACE/NK/HF/G,15275,CPT,,both,,,500,500,,81,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1641,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,1536,,,,,,,fee schedule,,3356,,,,,,,fee schedule,,81,3356,
153 - Otitis media & URI w/o MCC,153,MS-DRG,,inpatient,,,99,99,,9,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9,17,
"154 - Other ear, nose, mouth & throat diagnoses w MCC",154,MS-DRG,,inpatient,,,141,141,,85,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,212,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,85,381,
"155 - Other ear, nose, mouth & throat diagnoses w CC",155,MS-DRG,,inpatient,,,107,107,,82,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,87,
"156 - Other ear, nose, mouth & throat diagnoses w/o CC/MCC",156,MS-DRG,,inpatient,,,21,21,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,8,
15730 - MDFC FLAP W/PRSRV VASC PEDCL,15730,CPT,,both,,,7480,7480,,795,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1765,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1653,,,,,,,fee schedule,,3610,,,,,,,fee schedule,,795,4926,
15731 - FOREHEAD FLAP W/VASC PEDICLE,15731,CPT,,both,,,8594,8594,,877,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1983,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,4056,,,,,,,fee schedule,,877,4926,
15733 - MUSC MYOQ/FSCQ FLP H&N PEDCL,15733,CPT,,both,,,7805,7805,,907,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1765,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1653,,,,,,,fee schedule,,3610,,,,,,,fee schedule,,907,4926,
15734 - MUSCLE-SKIN GRAFT TRUNK,15734,CPT,,both,,,35460,35460,,37605,,,,,,,case rate,,45247,,,,,,,case rate,,36530,,,,,,,case rate,,36530,,,,,,,case rate,,52364,,,,,,,case rate,,52364,,,,,,,case rate,,39084,,,,,,,case rate,,25420,,,,,,,case rate,,  ,,,,,,,case rate,,33221,,,,,,,case rate,,33221,,,,,,,case rate,,33221,,,,,,,case rate,,33885,,,,,,,case rate,,33221,,,,,,,case rate,,33221,,,,,,,case rate,,33221,,,,,,,case rate,,30895,,,,,,,case rate,,33221,,,,,,,case rate,,33221,,,,,,,case rate,,33221,,,,,,,case rate,,33221,,,,,,,case rate,,33885,,,,,,,case rate,,35546,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25420,52364,
15769 - GRFG AUTOL SOFT TISS DIR EXC,15769,CPT,,both,,,103810,103810,,37443,,,,,,,case rate,,45053,,,,,,,case rate,,36373,,,,,,,case rate,,36373,,,,,,,case rate,,52139,,,,,,,case rate,,52139,,,,,,,case rate,,38916,,,,,,,case rate,,25310,,,,,,,case rate,,  ,,,,,,,case rate,,33083,,,,,,,case rate,,33083,,,,,,,case rate,,33083,,,,,,,case rate,,33745,,,,,,,case rate,,33083,,,,,,,case rate,,33083,,,,,,,case rate,,33083,,,,,,,case rate,,30768,,,,,,,case rate,,33083,,,,,,,case rate,,33083,,,,,,,case rate,,33083,,,,,,,case rate,,33083,,,,,,,case rate,,33745,,,,,,,case rate,,35399,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25310,52139,
15770 - DERMA-FAT-FASCIA GRAFT,15770,CPT,,both,,,7805,7805,,584,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1765,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,1653,,,,,,,fee schedule,,3610,,,,,,,fee schedule,,584,4926,
15771 - GRFG AUTOL FAT LIPO 50 CC/<,15771,CPT,,both,,,50033,50033,,37420,,,,,,,case rate,,45024,,,,,,,case rate,,36350,,,,,,,case rate,,36350,,,,,,,case rate,,52106,,,,,,,case rate,,52106,,,,,,,case rate,,38892,,,,,,,case rate,,25294,,,,,,,case rate,,  ,,,,,,,case rate,,33064,,,,,,,case rate,,33064,,,,,,,case rate,,33064,,,,,,,case rate,,33725,,,,,,,case rate,,33064,,,,,,,case rate,,33064,,,,,,,case rate,,33064,,,,,,,case rate,,30749,,,,,,,case rate,,33064,,,,,,,case rate,,33064,,,,,,,case rate,,33064,,,,,,,case rate,,33064,,,,,,,case rate,,33725,,,,,,,case rate,,35378,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25294,52106,
15772 - GRFG AUTOL FAT LIPO EA ADDL,15772,CPT,,both,,,13435,13435,,16272,,,,,,,case rate,,19579,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,22658,,,,,,,case rate,,22658,,,,,,,case rate,,16912,,,,,,,case rate,,10999,,,,,,,case rate,,  ,,,,,,,case rate,,15147,,,,,,,case rate,,15147,,,,,,,case rate,,15147,,,,,,,case rate,,15450,,,,,,,case rate,,15147,,,,,,,case rate,,15147,,,,,,,case rate,,15147,,,,,,,case rate,,14086,,,,,,,case rate,,15147,,,,,,,case rate,,15147,,,,,,,case rate,,15147,,,,,,,case rate,,15147,,,,,,,case rate,,15450,,,,,,,case rate,,16207,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10999,22658,
15773 - GRFG AUTOL FAT LIPO 25 CC/<,15773,CPT,,both,,,30037,30037,,28717,,,,,,,case rate,,34554,,,,,,,case rate,,27897,,,,,,,case rate,,27897,,,,,,,case rate,,39988,,,,,,,case rate,,39988,,,,,,,case rate,,29847,,,,,,,case rate,,19412,,,,,,,case rate,,  ,,,,,,,case rate,,25691,,,,,,,case rate,,25691,,,,,,,case rate,,25691,,,,,,,case rate,,26205,,,,,,,case rate,,25691,,,,,,,case rate,,25691,,,,,,,case rate,,25691,,,,,,,case rate,,23892,,,,,,,case rate,,25691,,,,,,,case rate,,25691,,,,,,,case rate,,25691,,,,,,,case rate,,25691,,,,,,,case rate,,26205,,,,,,,case rate,,27489,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19412,39988,
158 - Dental & oral diseases w CC,158,MS-DRG,,inpatient,,,142,142,,20,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20,87,
15820 - REVISION OF LOWER EYELID,15820,CPT,,both,,,25294,25294,,28662,,,,,,,case rate,,34487,,,,,,,case rate,,27843,,,,,,,case rate,,27843,,,,,,,case rate,,39912,,,,,,,case rate,,39912,,,,,,,case rate,,29790,,,,,,,case rate,,19375,,,,,,,case rate,,  ,,,,,,,case rate,,25644,,,,,,,case rate,,25644,,,,,,,case rate,,25644,,,,,,,case rate,,26157,,,,,,,case rate,,25644,,,,,,,case rate,,25644,,,,,,,case rate,,25644,,,,,,,case rate,,23849,,,,,,,case rate,,25644,,,,,,,case rate,,25644,,,,,,,case rate,,25644,,,,,,,case rate,,25644,,,,,,,case rate,,26157,,,,,,,case rate,,27439,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19375,39912,
15822 - REVISION OF UPPER EYELID,15822,CPT,,both,,,41055,41055,,28647,,,,,,,case rate,,34469,,,,,,,case rate,,27828,,,,,,,case rate,,27828,,,,,,,case rate,,39890,,,,,,,case rate,,39890,,,,,,,case rate,,29774,,,,,,,case rate,,19364,,,,,,,case rate,,  ,,,,,,,case rate,,25631,,,,,,,case rate,,25631,,,,,,,case rate,,25631,,,,,,,case rate,,26144,,,,,,,case rate,,25631,,,,,,,case rate,,25631,,,,,,,case rate,,25631,,,,,,,case rate,,23837,,,,,,,case rate,,25631,,,,,,,case rate,,25631,,,,,,,case rate,,25631,,,,,,,case rate,,25631,,,,,,,case rate,,26144,,,,,,,case rate,,27425,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19364,39890,
15823 - REVISION OF UPPER EYELID,15823,CPT,,both,,,4141,4141,,459,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,521,,,,,,,fee schedule,,521,,,,,,,fee schedule,,1641,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1444,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1312,,,,,,,fee schedule,,1352,,,,,,,fee schedule,,2953,,,,,,,fee schedule,,459,2953,
15830 - EXC SKIN ABD,15830,CPT,,both,,,60028,60028,,52304,,,,,,,case rate,,62934,,,,,,,case rate,,50809,,,,,,,case rate,,50809,,,,,,,case rate,,72833,,,,,,,case rate,,72833,,,,,,,case rate,,54362,,,,,,,case rate,,35356,,,,,,,case rate,,  ,,,,,,,case rate,,45674,,,,,,,case rate,,45674,,,,,,,case rate,,45674,,,,,,,case rate,,46588,,,,,,,case rate,,45674,,,,,,,case rate,,45674,,,,,,,case rate,,45674,,,,,,,case rate,,42477,,,,,,,case rate,,45674,,,,,,,case rate,,45674,,,,,,,case rate,,45674,,,,,,,case rate,,45674,,,,,,,case rate,,46588,,,,,,,case rate,,48871,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35356,72833,
15847 - EXC SKIN ABD ADD-ON,15847,CPT,,both,,,18693,18693,,21036,,,,,,,case rate,,25311,,,,,,,case rate,,20435,,,,,,,case rate,,20435,,,,,,,case rate,,29292,,,,,,,case rate,,29292,,,,,,,case rate,,21864,,,,,,,case rate,,14220,,,,,,,case rate,,  ,,,,,,,case rate,,19183,,,,,,,case rate,,19183,,,,,,,case rate,,19183,,,,,,,case rate,,19567,,,,,,,case rate,,19183,,,,,,,case rate,,19183,,,,,,,case rate,,19183,,,,,,,case rate,,17840,,,,,,,case rate,,19183,,,,,,,case rate,,19183,,,,,,,case rate,,19183,,,,,,,case rate,,19183,,,,,,,case rate,,19567,,,,,,,case rate,,20526,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14220,29292,
15876 - SUCTION LIPECTOMY HEAD&NECK,15876,CPT,,both,,,33492,33492,,37261,,,,,,,case rate,,44834,,,,,,,case rate,,36196,,,,,,,case rate,,36196,,,,,,,case rate,,51885,,,,,,,case rate,,51885,,,,,,,case rate,,38727,,,,,,,case rate,,25187,,,,,,,case rate,,  ,,,,,,,case rate,,32929,,,,,,,case rate,,32929,,,,,,,case rate,,32929,,,,,,,case rate,,33588,,,,,,,case rate,,32929,,,,,,,case rate,,32929,,,,,,,case rate,,32929,,,,,,,case rate,,30624,,,,,,,case rate,,32929,,,,,,,case rate,,32929,,,,,,,case rate,,32929,,,,,,,case rate,,32929,,,,,,,case rate,,33588,,,,,,,case rate,,35234,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25187,51885,
159 - Dental & oral diseases w/o CC/MCC,159,MS-DRG,,inpatient,,,1243,1243,,7,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7,9,
16000 - INITIAL TREATMENT OF BURN(S),16000,CPT,,both,,,360,360,,39,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,116,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,102,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,95,,,,,,,fee schedule,,208,,,,,,,fee schedule,,39,1880,
16020 - DRESS/DEBRID P-THICK BURN S,16020,CPT,,both,,,579,579,,47,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,116,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,102,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,95,,,,,,,fee schedule,,208,,,,,,,fee schedule,,46,1880,
163 - Major chest procedures w MCC,163,MS-DRG,,inpatient,,,12506,12506,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4652,7893,
164 - Major chest procedures w CC,164,MS-DRG,,inpatient,,,6198,6198,,375,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,375,3912,
166 - Other respiratory system O.R. procedures with MCC,166,MS-DRG,,inpatient,,,11282,11282,,976,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,879,7121,
167 - Other respiratory system O.R. procedures with CC,167,MS-DRG,,inpatient,,,,,,1028,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,931,1028,
168 - Other respiratory system O.R. procedures without CC/MCC,168,MS-DRG,,inpatient,,,143,143,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,262,,,,,,,fee schedule,,262,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,262,
17000 - DESTRUCT PREMALG LESION,17000,CPT,,both,,,355,355,,46,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,34,1880,
17003 - DESTRUCT PREMALG LES 2-14,17003,CPT,,both,,,113,113,,2,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,2,1880,
17110 - DESTRUCT B9 LESION 1-14,17110,CPT,,both,,,445,445,,60,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,48,1880,
17250 - CHEM CAUT OF GRANLTJ TISSUE,17250,CPT,,both,,,512,512,,32,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,286,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,268,,,,,,,fee schedule,,585,,,,,,,fee schedule,,32,1880,
17261 - DESTRUCTION OF SKIN LESIONS,17261,CPT,,both,,,356,356,,79,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,73,1880,
17262 - DESTRUCTION OF SKIN LESIONS,17262,CPT,,both,,,576,576,,101,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,99,1880,
17263 - DESTRUCTION OF SKIN LESIONS,17263,CPT,,both,,,24879,24879,,18177,,,,,,,case rate,,21871,,,,,,,case rate,,17658,,,,,,,case rate,,17658,,,,,,,case rate,,25311,,,,,,,case rate,,25311,,,,,,,case rate,,18892,,,,,,,case rate,,12287,,,,,,,case rate,,  ,,,,,,,case rate,,16761,,,,,,,case rate,,16761,,,,,,,case rate,,16761,,,,,,,case rate,,17096,,,,,,,case rate,,16761,,,,,,,case rate,,16761,,,,,,,case rate,,16761,,,,,,,case rate,,15588,,,,,,,case rate,,16761,,,,,,,case rate,,16761,,,,,,,case rate,,16761,,,,,,,case rate,,16761,,,,,,,case rate,,17096,,,,,,,case rate,,17934,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12287,25311,
17272 - DESTRUCTION OF SKIN LESIONS,17272,CPT,,both,,,489,489,,111,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,111,1965,
17280 - DESTRUCTION OF SKIN LESIONS,17280,CPT,,both,,,15748,15748,,18048,,,,,,,case rate,,21717,,,,,,,case rate,,17533,,,,,,,case rate,,17533,,,,,,,case rate,,25132,,,,,,,case rate,,25132,,,,,,,case rate,,18759,,,,,,,case rate,,12200,,,,,,,case rate,,  ,,,,,,,case rate,,16652,,,,,,,case rate,,16652,,,,,,,case rate,,16652,,,,,,,case rate,,16985,,,,,,,case rate,,16652,,,,,,,case rate,,16652,,,,,,,case rate,,16652,,,,,,,case rate,,15486,,,,,,,case rate,,16652,,,,,,,case rate,,16652,,,,,,,case rate,,16652,,,,,,,case rate,,16652,,,,,,,case rate,,16985,,,,,,,case rate,,17818,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12200,25132,
175 - Pulmonary embolism w MCC or acute cor pulmonale,175,MS-DRG,,inpatient,,,570,570,,265,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,265,289,
176 - Pulmonary embolism w/o MCC,176,MS-DRG,,inpatient,,,110,110,,42,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,42,
177 - Respiratory infections & inflammations w MCC,177,MS-DRG,,inpatient,,,1422,1422,,782,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,782,
178 - Respiratory infections & inflammations w CC,178,MS-DRG,,inpatient,,,627,627,,71,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,108,
179 - Respiratory infections & inflammations w/o CC/MCC,179,MS-DRG,,inpatient,,,44,44,,9,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9,24,
180 - Respiratory neoplasms w MCC,180,MS-DRG,,inpatient,,,414,414,,90,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,732,,,,,,,fee schedule,,732,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,473,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,431,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,473,,,,,,,fee schedule,,496,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,90,841,
181 - Respiratory neoplasms w CC,181,MS-DRG,,inpatient,,,434,434,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,95,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,87,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,95,,,,,,,fee schedule,,100,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,147,
182 - Respiratory neoplasms w/o CC/MCC,182,MS-DRG,,inpatient,,,141,141,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,15,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,13,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13,23,
186 - Pleural effusion w MCC,186,MS-DRG,,inpatient,,,592,592,,119,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,58,401,
187 - Pleural effusion w CC,187,MS-DRG,,inpatient,,,627,627,,71,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,124,
189 - Pulmonary edema & respiratory failure,189,MS-DRG,,inpatient,,,349,349,,84,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,50,220,
190 - Chronic obstructive pulmonary disease w MCC,190,MS-DRG,,inpatient,,,320,320,,139,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,139,158,
19000 - DRAINAGE OF BREAST LESION,19000,CPT,,both,,,33192,33192,,24921,,,,,,,case rate,,29985,,,,,,,case rate,,24208,,,,,,,case rate,,24208,,,,,,,case rate,,34702,,,,,,,case rate,,34702,,,,,,,case rate,,25901,,,,,,,case rate,,16845,,,,,,,case rate,,  ,,,,,,,case rate,,22474,,,,,,,case rate,,22474,,,,,,,case rate,,22474,,,,,,,case rate,,22924,,,,,,,case rate,,22474,,,,,,,case rate,,22474,,,,,,,case rate,,22474,,,,,,,case rate,,20901,,,,,,,case rate,,22474,,,,,,,case rate,,22474,,,,,,,case rate,,22474,,,,,,,case rate,,22474,,,,,,,case rate,,22924,,,,,,,case rate,,24047,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16845,34702,
19081 - BX BREAST 1ST LESION STRTCTC,19081,CPT,,both,,,46921,46921,,27930,,,,,,,case rate,,33607,,,,,,,case rate,,27132,,,,,,,case rate,,27132,,,,,,,case rate,,38892,,,,,,,case rate,,38892,,,,,,,case rate,,29029,,,,,,,case rate,,18880,,,,,,,case rate,,  ,,,,,,,case rate,,25024,,,,,,,case rate,,25024,,,,,,,case rate,,25024,,,,,,,case rate,,25525,,,,,,,case rate,,25024,,,,,,,case rate,,25024,,,,,,,case rate,,25024,,,,,,,case rate,,23272,,,,,,,case rate,,25024,,,,,,,case rate,,25024,,,,,,,case rate,,25024,,,,,,,case rate,,25024,,,,,,,case rate,,25525,,,,,,,case rate,,26776,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18880,38892,
19082 - BX BREAST ADD LESION STRTCTC,19082,CPT,,both,,,19133,19133,,22788,,,,,,,case rate,,27419,,,,,,,case rate,,22136,,,,,,,case rate,,22136,,,,,,,case rate,,31731,,,,,,,case rate,,31731,,,,,,,case rate,,23684,,,,,,,case rate,,15404,,,,,,,case rate,,  ,,,,,,,case rate,,20667,,,,,,,case rate,,20667,,,,,,,case rate,,20667,,,,,,,case rate,,21080,,,,,,,case rate,,20667,,,,,,,case rate,,20667,,,,,,,case rate,,20667,,,,,,,case rate,,19220,,,,,,,case rate,,20667,,,,,,,case rate,,20667,,,,,,,case rate,,20667,,,,,,,case rate,,20667,,,,,,,case rate,,21080,,,,,,,case rate,,22114,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15404,31731,
19083 - BX BREAST 1ST LESION US IMAG,19083,CPT,,both,,,37131,37131,,27866,,,,,,,case rate,,33529,,,,,,,case rate,,27069,,,,,,,case rate,,27069,,,,,,,case rate,,38803,,,,,,,case rate,,38803,,,,,,,case rate,,28962,,,,,,,case rate,,18836,,,,,,,case rate,,  ,,,,,,,case rate,,24970,,,,,,,case rate,,24970,,,,,,,case rate,,24970,,,,,,,case rate,,25469,,,,,,,case rate,,24970,,,,,,,case rate,,24970,,,,,,,case rate,,24970,,,,,,,case rate,,23222,,,,,,,case rate,,24970,,,,,,,case rate,,24970,,,,,,,case rate,,24970,,,,,,,case rate,,24970,,,,,,,case rate,,25469,,,,,,,case rate,,26717,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18836,38803,
19084 - BX BREAST ADD LESION US IMAG,19084,CPT,,both,,,31865,31865,,22766,,,,,,,case rate,,27392,,,,,,,case rate,,22115,,,,,,,case rate,,22115,,,,,,,case rate,,31701,,,,,,,case rate,,31701,,,,,,,case rate,,23661,,,,,,,case rate,,15389,,,,,,,case rate,,  ,,,,,,,case rate,,20648,,,,,,,case rate,,20648,,,,,,,case rate,,20648,,,,,,,case rate,,21061,,,,,,,case rate,,20648,,,,,,,case rate,,20648,,,,,,,case rate,,20648,,,,,,,case rate,,19203,,,,,,,case rate,,20648,,,,,,,case rate,,20648,,,,,,,case rate,,20648,,,,,,,case rate,,20648,,,,,,,case rate,,21061,,,,,,,case rate,,22094,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15389,31701,
191 - Chronic obstructive pulmonary disease w CC,191,MS-DRG,,inpatient,,,300,300,,48,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,48,
19120 - REMOVAL OF BREAST LESION,19120,CPT,,both,,,8249,8249,,367,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1994,,,,,,,fee schedule,,1403,,,,,,,fee schedule,,1263,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1754,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1643,,,,,,,fee schedule,,3588,,,,,,,fee schedule,,367,5206,
19125 - EXCISION BREAST LESION,19125,CPT,,both,,,8249,8249,,408,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1994,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1754,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1643,,,,,,,fee schedule,,3588,,,,,,,fee schedule,,408,5206,
192 - Chronic obstructive pulmonary disease w/o CC/MCC,192,MS-DRG,,inpatient,,,40,40,,4,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,7,
19281 - PERQ DEVICE BREAST 1ST IMAG,19281,CPT,,both,,,1675,1675,,86,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1994,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1754,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1643,,,,,,,fee schedule,,3588,,,,,,,fee schedule,,86,3588,
19282 - PERQ DEVICE BREAST EA IMAG,19282,CPT,,both,,,16245,16245,,16035,,,,,,,case rate,,19293,,,,,,,case rate,,15576,,,,,,,case rate,,15576,,,,,,,case rate,,22328,,,,,,,case rate,,22328,,,,,,,case rate,,16666,,,,,,,case rate,,10839,,,,,,,case rate,,  ,,,,,,,case rate,,14946,,,,,,,case rate,,14946,,,,,,,case rate,,14946,,,,,,,case rate,,15245,,,,,,,case rate,,14946,,,,,,,case rate,,14946,,,,,,,case rate,,14946,,,,,,,case rate,,13900,,,,,,,case rate,,14946,,,,,,,case rate,,14946,,,,,,,case rate,,14946,,,,,,,case rate,,14946,,,,,,,case rate,,15245,,,,,,,case rate,,15992,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10839,22328,
19285 - PERQ DEV BREAST 1ST US IMAG,19285,CPT,,both,,,290,290,,74,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,268,,,,,,,fee schedule,,268,,,,,,,fee schedule,,1994,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1754,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1595,,,,,,,fee schedule,,1643,,,,,,,fee schedule,,3588,,,,,,,fee schedule,,74,3588,
193 - Simple pneumonia & pleurisy w MCC,193,MS-DRG,,inpatient,,,285,285,,79,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,49,,,,,,,fee schedule,,49,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,49,253,
19301 - PARTIAL MASTECTOMY,19301,CPT,,both,,,8249,8249,,581,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,392,,,,,,,fee schedule,,392,,,,,,,fee schedule,,2804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2467,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2310,,,,,,,fee schedule,,5047,,,,,,,fee schedule,,392,5206,
19303 - MAST SIMPLE COMPLETE,19303,CPT,,both,,,14260,14260,,900,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5305,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,6103,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2467,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2310,,,,,,,fee schedule,,5047,,,,,,,fee schedule,,900,9000,
19316 - SUSPENSION OF BREAST,19316,CPT,,both,,,14260,14260,,672,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5305,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,6103,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,672,9000,
19318 - BREAST REDUCTION,19318,CPT,,both,,,14260,14260,,960,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4004,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5305,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,6103,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3524,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3203,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,7208,,,,,,,fee schedule,,960,9000,
19325 - BREAST AUGMENTATION W/IMPLT,19325,CPT,,both,,,60529,60529,,56156,,,,,,,case rate,,67569,,,,,,,case rate,,54551,,,,,,,case rate,,54551,,,,,,,case rate,,78196,,,,,,,case rate,,78196,,,,,,,case rate,,58365,,,,,,,case rate,,37959,,,,,,,case rate,,  ,,,,,,,case rate,,48937,,,,,,,case rate,,48937,,,,,,,case rate,,48937,,,,,,,case rate,,49916,,,,,,,case rate,,48937,,,,,,,case rate,,48937,,,,,,,case rate,,48937,,,,,,,case rate,,45512,,,,,,,case rate,,48937,,,,,,,case rate,,48937,,,,,,,case rate,,48937,,,,,,,case rate,,48937,,,,,,,case rate,,49916,,,,,,,case rate,,52363,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37959,78196,
19328 - RMVL INTACT BREAST IMPLANT,19328,CPT,,both,,,8249,8249,,432,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2467,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2310,,,,,,,fee schedule,,5047,,,,,,,fee schedule,,432,5206,
19342 - INSJ/RPLCMT BRST IMPLT SEP D,19342,CPT,,both,,,67992,67992,,56905,,,,,,,case rate,,68470,,,,,,,case rate,,55279,,,,,,,case rate,,55279,,,,,,,case rate,,79239,,,,,,,case rate,,79239,,,,,,,case rate,,59144,,,,,,,case rate,,38466,,,,,,,case rate,,  ,,,,,,,case rate,,49572,,,,,,,case rate,,49572,,,,,,,case rate,,49572,,,,,,,case rate,,50564,,,,,,,case rate,,49572,,,,,,,case rate,,49572,,,,,,,case rate,,49572,,,,,,,case rate,,46102,,,,,,,case rate,,49572,,,,,,,case rate,,49572,,,,,,,case rate,,49572,,,,,,,case rate,,49572,,,,,,,case rate,,50564,,,,,,,case rate,,53042,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38466,79239,
19370 - REVJ PERI-IMPLT CAPSULE BRST,19370,CPT,,both,,,8249,8249,,597,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2467,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2243,,,,,,,fee schedule,,2310,,,,,,,fee schedule,,5047,,,,,,,fee schedule,,597,5206,
194 - Simple pneumonia & pleurisy w CC,194,MS-DRG,,inpatient,,,94,94,,28,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,28,47,
195 - Simple pneumonia & pleurisy w/o CC/MCC,195,MS-DRG,,inpatient,,,9,9,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3,5,
196 - Interstitial lung disease w MCC,196,MS-DRG,,inpatient,,,2598,2598,,105,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,105,1640,
197 - Interstitial lung disease w CC,197,MS-DRG,,inpatient,,,,,,126,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,109,126,
198 - Interstitial lung disease w/o CC/MCC,198,MS-DRG,,inpatient,,,40,40,,12,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12,28,
200 - Pneumothorax w CC,200,MS-DRG,,inpatient,,,155,155,,44,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,75,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,66,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,62,,,,,,,fee schedule,,135,,,,,,,fee schedule,,30,135,
202 - Bronchitis & asthma w CC/MCC,202,MS-DRG,,inpatient,,,160,160,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,94,,,,,,,fee schedule,,94,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,61,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,55,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,61,,,,,,,fee schedule,,64,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,55,94,
20205 - DEEP MUSCLE BIOPSY,20205,CPT,,both,,,6198,6198,,165,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,820,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,722,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,676,,,,,,,fee schedule,,1477,,,,,,,fee schedule,,147,3912,
20220 - BONE BIOPSY TROCAR/NEEDLE,20220,CPT,,both,,,4181,4181,,73,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,2271,
20225 - BONE BIOPSY TROCAR/NEEDLE,20225,CPT,,both,,,4181,4181,,109,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,109,2271,
20240 - BONE BIOPSY OPEN SUPERFICIAL,20240,CPT,,both,,,26327,26327,,31173,,,,,,,case rate,,37508,,,,,,,case rate,,30281,,,,,,,case rate,,30281,,,,,,,case rate,,43407,,,,,,,case rate,,43407,,,,,,,case rate,,32399,,,,,,,case rate,,21071,,,,,,,case rate,,  ,,,,,,,case rate,,27771,,,,,,,case rate,,27771,,,,,,,case rate,,27771,,,,,,,case rate,,28326,,,,,,,case rate,,27771,,,,,,,case rate,,27771,,,,,,,case rate,,27771,,,,,,,case rate,,25827,,,,,,,case rate,,27771,,,,,,,case rate,,27771,,,,,,,case rate,,27771,,,,,,,case rate,,27771,,,,,,,case rate,,28326,,,,,,,case rate,,29715,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21071,43407,
203 - Bronchitis & asthma w/o CC/MCC,203,MS-DRG,,inpatient,,,104,104,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12,12,
204 - Respiratory signs & symptoms,204,MS-DRG,,inpatient,,,117,117,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,31,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,28,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,31,,,,,,,fee schedule,,32,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,28,47,
205 - Other respiratory system diagnoses w MCC,205,MS-DRG,,inpatient,,,1557,1557,,187,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,167,983,
20520 - REMOVAL OF FOREIGN BODY,20520,CPT,,both,,,3598,3598,,148,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,878,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,703,,,,,,,fee schedule,,703,,,,,,,fee schedule,,703,,,,,,,fee schedule,,703,,,,,,,fee schedule,,703,,,,,,,fee schedule,,703,,,,,,,fee schedule,,773,,,,,,,fee schedule,,703,,,,,,,fee schedule,,703,,,,,,,fee schedule,,703,,,,,,,fee schedule,,724,,,,,,,fee schedule,,1581,,,,,,,fee schedule,,148,2271,
20525 - REMOVAL OF FOREIGN BODY,20525,CPT,,both,,,6198,6198,,255,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,255,3912,
20550 - INJ TENDON SHEATH/LIGAMENT,20550,CPT,,both,,,1499,1499,,42,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,394,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,347,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,325,,,,,,,fee schedule,,709,,,,,,,fee schedule,,39,1880,
20551 - INJ TENDON ORIGIN/INSERTION,20551,CPT,,both,,,765,765,,42,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,394,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,347,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,325,,,,,,,fee schedule,,709,,,,,,,fee schedule,,42,1880,
20552 - INJ TRIGGER POINT 1/2 MUSCL,20552,CPT,,both,,,240,240,,38,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,394,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,347,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,325,,,,,,,fee schedule,,709,,,,,,,fee schedule,,38,1880,
20553 - INJECT TRIGGER POINTS 3/>,20553,CPT,,both,,,19409,19409,,20738,,,,,,,case rate,,24952,,,,,,,case rate,,20145,,,,,,,case rate,,20145,,,,,,,case rate,,28877,,,,,,,case rate,,28877,,,,,,,case rate,,21554,,,,,,,case rate,,14018,,,,,,,case rate,,  ,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,19309,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,17605,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,19309,,,,,,,case rate,,20255,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14018,28877,
206 - Other respiratory system diagnoses w/o MCC,206,MS-DRG,,inpatient,,,921,921,,81,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,81,81,
20600 - DRAIN/INJ JOINT/BURSA W/O US,20600,CPT,,both,,,2072,2072,,35,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,394,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,347,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,325,,,,,,,fee schedule,,709,,,,,,,fee schedule,,35,1965,
20605 - DRAIN/INJ JOINT/BURSA W/O US,20605,CPT,,both,,,576,576,,37,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,95,,,,,,,fee schedule,,95,,,,,,,fee schedule,,394,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,347,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,325,,,,,,,fee schedule,,709,,,,,,,fee schedule,,37,1965,
20610 - DRAIN/INJ JOINT/BURSA W/O US,20610,CPT,,both,,,2324,2324,,47,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,44,,,,,,,fee schedule,,44,,,,,,,fee schedule,,394,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,347,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,325,,,,,,,fee schedule,,709,,,,,,,fee schedule,,44,1965,
20670 - REMOVAL OF SUPPORT IMPLANT,20670,CPT,,both,,,3598,3598,,150,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,150,3230,
20680 - REMOVAL OF SUPPORT IMPLANT,20680,CPT,,both,,,6198,6198,,433,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,404,3912,
20692 - APPLY BONE FIXATION DEVICE,20692,CPT,,both,,,31308,31308,,1146,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,19759,,,,,,,fee schedule,,19759,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2188,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12773,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,11646,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12773,,,,,,,fee schedule,,13400,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,420,19759,
20694 - REMOVE BONE FIXATION DEVICE,20694,CPT,,both,,,3442,3442,,347,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2188,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1925,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,3938,,,,,,,fee schedule,,347,3938,
207 - Respiratory system diagnosis w ventilator support >96 hours,207,MS-DRG,,inpatient,,,15871,15871,,1603,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1311,10017,
208 - Respiratory system diagnosis w ventilator support <=96 hours,208,MS-DRG,,inpatient,,,6826,6826,,302,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,267,4308,
20900 - REMOVAL OF BONE FOR GRAFT,20900,CPT,,both,,,15871,15871,,196,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2188,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1925,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1750,,,,,,,fee schedule,,1803,,,,,,,fee schedule,,3938,,,,,,,fee schedule,,196,10017,
20930 - SP BONE ALGRFT MORSEL ADD-ON,20930,CPT,,both,,,13196,13196,,13440,,,,,,,case rate,,16171,,,,,,,case rate,,13056,,,,,,,case rate,,13056,,,,,,,case rate,,18715,,,,,,,case rate,,18715,,,,,,,case rate,,13969,,,,,,,case rate,,9085,,,,,,,case rate,,  ,,,,,,,case rate,,12747,,,,,,,case rate,,12747,,,,,,,case rate,,12747,,,,,,,case rate,,13002,,,,,,,case rate,,12747,,,,,,,case rate,,12747,,,,,,,case rate,,12747,,,,,,,case rate,,11855,,,,,,,case rate,,12747,,,,,,,case rate,,12747,,,,,,,case rate,,12747,,,,,,,case rate,,12747,,,,,,,case rate,,13002,,,,,,,case rate,,13640,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9085,18715,
21011 - EXC FACE LES SC <2 CM,21011,CPT,,both,,,3598,3598,,266,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,266,2855,
21012 - EXC FACE LES SBQ 2 CM/>,21012,CPT,,both,,,3598,3598,,350,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,350,3535,
21013 - EXC FACE TUM DEEP < 2 CM,21013,CPT,,both,,,3598,3598,,411,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,411,2855,
21014 - EXC FACE TUM DEEP 2 CM/>,21014,CPT,,both,,,6198,6198,,536,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,536,3912,
21230 - RIB CARTILAGE GRAFT,21230,CPT,,both,,,41526,41526,,50906,,,,,,,case rate,,61252,,,,,,,case rate,,49451,,,,,,,case rate,,49451,,,,,,,case rate,,70886,,,,,,,case rate,,70886,,,,,,,case rate,,52909,,,,,,,case rate,,34411,,,,,,,case rate,,  ,,,,,,,case rate,,44490,,,,,,,case rate,,44490,,,,,,,case rate,,44490,,,,,,,case rate,,45380,,,,,,,case rate,,44490,,,,,,,case rate,,44490,,,,,,,case rate,,44490,,,,,,,case rate,,41376,,,,,,,case rate,,44490,,,,,,,case rate,,44490,,,,,,,case rate,,44490,,,,,,,case rate,,44490,,,,,,,case rate,,45380,,,,,,,case rate,,47604,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34411,70886,
21235 - EAR CARTILAGE GRAFT,21235,CPT,,both,,,913,913,,2473,,,,,,,fee schedule,,4536,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2530,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,2084,,,,,,,fee schedule,,4553,,,,,,,fee schedule,,2024,4553,
21320 - CLSD TX NSL FX W/MNPJ&STABLJ,21320,CPT,,both,,,6826,6826,,138,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,138,4308,
21337 - CLOSED TX SEPTAL&NOSE FX,21337,CPT,,both,,,64317,64317,,33090,,,,,,,case rate,,39815,,,,,,,case rate,,32145,,,,,,,case rate,,32145,,,,,,,case rate,,46078,,,,,,,case rate,,46078,,,,,,,case rate,,34392,,,,,,,case rate,,22368,,,,,,,case rate,,  ,,,,,,,case rate,,29396,,,,,,,case rate,,29396,,,,,,,case rate,,29396,,,,,,,case rate,,29984,,,,,,,case rate,,29396,,,,,,,case rate,,29396,,,,,,,case rate,,29396,,,,,,,case rate,,27338,,,,,,,case rate,,29396,,,,,,,case rate,,29396,,,,,,,case rate,,29396,,,,,,,case rate,,29396,,,,,,,case rate,,29984,,,,,,,case rate,,31453,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22368,46078,
21480 - RESET DISLOCATED JAW,21480,CPT,,both,,,17895,17895,,18823,,,,,,,case rate,,22648,,,,,,,case rate,,18285,,,,,,,case rate,,18285,,,,,,,case rate,,26210,,,,,,,case rate,,26210,,,,,,,case rate,,19563,,,,,,,case rate,,12724,,,,,,,case rate,,  ,,,,,,,case rate,,17308,,,,,,,case rate,,17308,,,,,,,case rate,,17308,,,,,,,case rate,,17654,,,,,,,case rate,,17308,,,,,,,case rate,,17308,,,,,,,case rate,,17308,,,,,,,case rate,,16096,,,,,,,case rate,,17308,,,,,,,case rate,,17308,,,,,,,case rate,,17308,,,,,,,case rate,,17308,,,,,,,case rate,,17654,,,,,,,case rate,,18520,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12724,26210,
215 - Other heart assist system implant,215,MS-DRG,,inpatient,,,19586,19586,,391,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7286,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,8383,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,383,12361,
21550 - BIOPSY OF NECK/CHEST,21550,CPT,,both,,,3598,3598,,161,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,142,4134,
21552 - EXC NECK LES SC 3 CM/>,21552,CPT,,both,,,6198,6198,,465,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,465,3912,
21554 - EXC NECK TUM DEEP 5 CM/>,21554,CPT,,both,,,6198,6198,,760,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,652,3912,
21555 - EXC NECK LES SC < 3 CM,21555,CPT,,both,,,3598,3598,,317,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,302,2835,
21556 - EXC NECK TUM DEEP < 5 CM,21556,CPT,,both,,,6198,6198,,547,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,390,3912,
21720 - REVISION OF NECK MUSCLE,21720,CPT,,both,,,34674,34674,,33689,,,,,,,case rate,,40536,,,,,,,case rate,,32726,,,,,,,case rate,,32726,,,,,,,case rate,,46911,,,,,,,case rate,,46911,,,,,,,case rate,,35014,,,,,,,case rate,,22772,,,,,,,case rate,,  ,,,,,,,case rate,,29903,,,,,,,case rate,,29903,,,,,,,case rate,,29903,,,,,,,case rate,,30501,,,,,,,case rate,,29903,,,,,,,case rate,,29903,,,,,,,case rate,,29903,,,,,,,case rate,,27810,,,,,,,case rate,,29903,,,,,,,case rate,,29903,,,,,,,case rate,,29903,,,,,,,case rate,,29903,,,,,,,case rate,,30501,,,,,,,case rate,,31996,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22772,46911,
21930 - EXC BACK LES SC < 3 CM,21930,CPT,,both,,,4273,4273,,378,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,340,4134,
21931 - EXC BACK LES SC 3 CM/>,21931,CPT,,both,,,3598,3598,,490,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1794,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1579,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1435,,,,,,,fee schedule,,1479,,,,,,,fee schedule,,3230,,,,,,,fee schedule,,490,4134,
21932 - EXC BACK TUM DEEP < 5 CM,21932,CPT,,both,,,6198,6198,,690,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,690,3912,
21933 - EXC BACK TUM DEEP 5 CM/>,21933,CPT,,both,,,6198,6198,,769,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,769,3912,
22551 - ARTHRD ANT NTRBDY CERVICAL,22551,CPT,,both,,,248576,248576,,61432,,,,,,,case rate,,73917,,,,,,,case rate,,59676,,,,,,,case rate,,59676,,,,,,,case rate,,85543,,,,,,,case rate,,85543,,,,,,,case rate,,63849,,,,,,,case rate,,41526,,,,,,,case rate,,  ,,,,,,,case rate,,53408,,,,,,,case rate,,53408,,,,,,,case rate,,53408,,,,,,,case rate,,54476,,,,,,,case rate,,53408,,,,,,,case rate,,53408,,,,,,,case rate,,53408,,,,,,,case rate,,49669,,,,,,,case rate,,53408,,,,,,,case rate,,53408,,,,,,,case rate,,53408,,,,,,,case rate,,53408,,,,,,,case rate,,54476,,,,,,,case rate,,57146,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41526,85543,
22845 - INSERT SPINE FIXATION DEVICE,22845,CPT,,both,,,22400,22400,,24534,,,,,,,case rate,,29520,,,,,,,case rate,,23833,,,,,,,case rate,,23833,,,,,,,case rate,,34163,,,,,,,case rate,,34163,,,,,,,case rate,,25500,,,,,,,case rate,,16584,,,,,,,case rate,,  ,,,,,,,case rate,,22147,,,,,,,case rate,,22147,,,,,,,case rate,,22147,,,,,,,case rate,,22590,,,,,,,case rate,,22147,,,,,,,case rate,,22147,,,,,,,case rate,,22147,,,,,,,case rate,,20597,,,,,,,case rate,,22147,,,,,,,case rate,,22147,,,,,,,case rate,,22147,,,,,,,case rate,,22147,,,,,,,case rate,,22590,,,,,,,case rate,,23697,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16584,34163,
22853 - INSJ BIOMECHANICAL DEVICE,22853,CPT,,both,,,16398,16398,,19442,,,,,,,case rate,,23393,,,,,,,case rate,,18886,,,,,,,case rate,,18886,,,,,,,case rate,,27072,,,,,,,case rate,,27072,,,,,,,case rate,,20207,,,,,,,case rate,,13142,,,,,,,case rate,,  ,,,,,,,case rate,,17832,,,,,,,case rate,,17832,,,,,,,case rate,,17832,,,,,,,case rate,,18189,,,,,,,case rate,,17832,,,,,,,case rate,,17832,,,,,,,case rate,,17832,,,,,,,case rate,,16584,,,,,,,case rate,,17832,,,,,,,case rate,,17832,,,,,,,case rate,,17832,,,,,,,case rate,,17832,,,,,,,case rate,,18189,,,,,,,case rate,,19081,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13142,27072,
229 - Other cardiothoracic procedures w/o MCC,229,MS-DRG,,inpatient,,,7690,7690,,806,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,802,4854,
22900 - EXC ABDL TUM DEEP < 5 CM,22900,CPT,,both,,,6198,6198,,588,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,453,3912,
22901 - EXC ABDL TUM DEEP 5 CM/>,22901,CPT,,both,,,6198,6198,,693,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,693,3912,
22902 - EXC ABD LES SC < 3 CM,22902,CPT,,both,,,3598,3598,,344,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1386,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1260,,,,,,,fee schedule,,1298,,,,,,,fee schedule,,2835,,,,,,,fee schedule,,344,3535,
23076 - EXC SHOULDER TUM DEEP < 5 CM,23076,CPT,,both,,,26818,26818,,32593,,,,,,,case rate,,39216,,,,,,,case rate,,31661,,,,,,,case rate,,31661,,,,,,,case rate,,45384,,,,,,,case rate,,45384,,,,,,,case rate,,33875,,,,,,,case rate,,22031,,,,,,,case rate,,  ,,,,,,,case rate,,28974,,,,,,,case rate,,28974,,,,,,,case rate,,28974,,,,,,,case rate,,29553,,,,,,,case rate,,28974,,,,,,,case rate,,28974,,,,,,,case rate,,28974,,,,,,,case rate,,26946,,,,,,,case rate,,28974,,,,,,,case rate,,28974,,,,,,,case rate,,28974,,,,,,,case rate,,28974,,,,,,,case rate,,29553,,,,,,,case rate,,31002,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22031,45384,
23350 - INJECTION FOR SHOULDER X-RAY,23350,CPT,,both,,,407,407,,51,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,4134,
23430 - REPAIR BICEPS TENDON,23430,CPT,,both,,,15871,15871,,767,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2879,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2534,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2303,,,,,,,fee schedule,,2373,,,,,,,fee schedule,,5183,,,,,,,fee schedule,,767,10017,
23650 - CLTX SHO DSLC W/MNPJ WO ANES,23650,CPT,,both,,,510,510,,290,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,185,1880,
239 - Amputation for circ sys disorders exc upper limb & toe w MCC,239,MS-DRG,,inpatient,,,12812,12812,,707,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,511,8086,
240 - Amputation for circ sys disorders exc upper limb & toe w CC,240,MS-DRG,,inpatient,,,7142,7142,,319,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,319,4508,
24071 - EXC ARM/ELBOW LES SC 3 CM/>,24071,CPT,,both,,,6198,6198,,422,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,422,3912,
242 - Permanent cardiac pacemaker implant w MCC,242,MS-DRG,,inpatient,,,7999,7999,,267,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,267,5048,
243 - Permanent cardiac pacemaker implant w CC,243,MS-DRG,,inpatient,,,5073,5073,,513,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,490,3202,
244 - Permanent cardiac pacemaker implant w/o CC/MCC,244,MS-DRG,,inpatient,,,1871,1871,,371,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,329,1153,
245 - AICD generator procedures,245,MS-DRG,,inpatient,,,12506,12506,,1694,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1505,7893,
24500 - TREAT HUMERUS FRACTURE,24500,CPT,,both,,,12926,12926,,19501,,,,,,,case rate,,23465,,,,,,,case rate,,18944,,,,,,,case rate,,18944,,,,,,,case rate,,27155,,,,,,,case rate,,27155,,,,,,,case rate,,20269,,,,,,,case rate,,13182,,,,,,,case rate,,  ,,,,,,,case rate,,17883,,,,,,,case rate,,17883,,,,,,,case rate,,17883,,,,,,,case rate,,18241,,,,,,,case rate,,17883,,,,,,,case rate,,17883,,,,,,,case rate,,17883,,,,,,,case rate,,16631,,,,,,,case rate,,17883,,,,,,,case rate,,17883,,,,,,,case rate,,17883,,,,,,,case rate,,17883,,,,,,,case rate,,18241,,,,,,,case rate,,19135,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13182,27155,
24505 - TREAT HUMERUS FRACTURE,24505,CPT,,both,,,510,510,,461,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,461,2172,
24530 - TREAT HUMERUS FRACTURE,24530,CPT,,both,,,18048,18048,,20392,,,,,,,case rate,,24536,,,,,,,case rate,,19809,,,,,,,case rate,,19809,,,,,,,case rate,,28396,,,,,,,case rate,,28396,,,,,,,case rate,,21194,,,,,,,case rate,,13784,,,,,,,case rate,,  ,,,,,,,case rate,,18637,,,,,,,case rate,,18637,,,,,,,case rate,,18637,,,,,,,case rate,,19010,,,,,,,case rate,,18637,,,,,,,case rate,,18637,,,,,,,case rate,,18637,,,,,,,case rate,,17333,,,,,,,case rate,,18637,,,,,,,case rate,,18637,,,,,,,case rate,,18637,,,,,,,case rate,,18637,,,,,,,case rate,,19010,,,,,,,case rate,,19942,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13784,28396,
24535 - TREAT HUMERUS FRACTURE,24535,CPT,,both,,,39881,39881,,27645,,,,,,,case rate,,33263,,,,,,,case rate,,26854,,,,,,,case rate,,26854,,,,,,,case rate,,38494,,,,,,,case rate,,38494,,,,,,,case rate,,28732,,,,,,,case rate,,18687,,,,,,,case rate,,  ,,,,,,,case rate,,24782,,,,,,,case rate,,24782,,,,,,,case rate,,24782,,,,,,,case rate,,25277,,,,,,,case rate,,24782,,,,,,,case rate,,24782,,,,,,,case rate,,24782,,,,,,,case rate,,23047,,,,,,,case rate,,24782,,,,,,,case rate,,24782,,,,,,,case rate,,24782,,,,,,,case rate,,24782,,,,,,,case rate,,25277,,,,,,,case rate,,26517,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18687,38494,
24640 - TREAT ELBOW DISLOCATION,24640,CPT,,both,,,510,510,,93,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,656,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,578,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,541,,,,,,,fee schedule,,1181,,,,,,,fee schedule,,93,1965,
24650 - TREAT RADIUS FRACTURE,24650,CPT,,both,,,25954,25954,,18884,,,,,,,case rate,,22722,,,,,,,case rate,,18344,,,,,,,case rate,,18344,,,,,,,case rate,,26296,,,,,,,case rate,,26296,,,,,,,case rate,,19627,,,,,,,case rate,,12765,,,,,,,case rate,,  ,,,,,,,case rate,,17360,,,,,,,case rate,,17360,,,,,,,case rate,,17360,,,,,,,case rate,,17707,,,,,,,case rate,,17360,,,,,,,case rate,,17360,,,,,,,case rate,,17360,,,,,,,case rate,,16145,,,,,,,case rate,,17360,,,,,,,case rate,,17360,,,,,,,case rate,,17360,,,,,,,case rate,,17360,,,,,,,case rate,,17707,,,,,,,case rate,,18575,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12765,26296,
24670 - TREAT ULNAR FRACTURE,24670,CPT,,both,,,39582,39582,,18919,,,,,,,case rate,,22764,,,,,,,case rate,,18378,,,,,,,case rate,,18378,,,,,,,case rate,,26344,,,,,,,case rate,,26344,,,,,,,case rate,,19663,,,,,,,case rate,,12788,,,,,,,case rate,,  ,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,17737,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,16172,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,17737,,,,,,,case rate,,18606,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12788,26344,
250 - Perc cardiovasc proc w/o coronary artery stent w MCC,250,MS-DRG,,inpatient,,,5073,5073,,575,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,575,3202,
251 - Perc cardiovasc proc w/o coronary artery stent w/o MCC,251,MS-DRG,,inpatient,,,1356,1356,,231,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,231,558,
25111 - REMOVE WRIST TENDON LESION,25111,CPT,,both,,,3442,3442,,328,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1734,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,328,3535,
252 - Other vascular procedures w MCC,252,MS-DRG,,inpatient,,,7805,7805,,739,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,528,4926,
25230 - PARTIAL REMOVAL OF RADIUS,25230,CPT,,both,,,23753,23753,,33548,,,,,,,case rate,,40365,,,,,,,case rate,,32589,,,,,,,case rate,,32589,,,,,,,case rate,,46714,,,,,,,case rate,,46714,,,,,,,case rate,,34867,,,,,,,case rate,,22677,,,,,,,case rate,,  ,,,,,,,case rate,,29783,,,,,,,case rate,,29783,,,,,,,case rate,,29783,,,,,,,case rate,,30379,,,,,,,case rate,,29783,,,,,,,case rate,,29783,,,,,,,case rate,,29783,,,,,,,case rate,,27698,,,,,,,case rate,,29783,,,,,,,case rate,,29783,,,,,,,case rate,,29783,,,,,,,case rate,,29783,,,,,,,case rate,,30379,,,,,,,case rate,,31868,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22677,46714,
25246 - INJECTION FOR WRIST X-RAY,25246,CPT,,both,,,,,,75,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,763,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,75,1880,
253 - Other vascular procedures w CC,253,MS-DRG,,inpatient,,,6198,6198,,508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,507,3912,
254 - Other vascular procedures w/o CC/MCC,254,MS-DRG,,inpatient,,,52,52,,69,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,69,841,
255 - Upper limb & toe amputation for circ system disorders w MCC,255,MS-DRG,,inpatient,,,6826,6826,,572,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,572,4308,
256 - Upper limb & toe amputation for circ system disorders w CC,256,MS-DRG,,inpatient,,,1036,1036,,68,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,68,630,
25600 - TREAT FRACTURE RADIUS/ULNA,25600,CPT,,both,,,19408,19408,,19134,,,,,,,case rate,,23023,,,,,,,case rate,,18587,,,,,,,case rate,,18587,,,,,,,case rate,,26644,,,,,,,case rate,,26644,,,,,,,case rate,,19887,,,,,,,case rate,,12934,,,,,,,case rate,,  ,,,,,,,case rate,,17572,,,,,,,case rate,,17572,,,,,,,case rate,,17572,,,,,,,case rate,,17923,,,,,,,case rate,,17572,,,,,,,case rate,,17572,,,,,,,case rate,,17572,,,,,,,case rate,,16342,,,,,,,case rate,,17572,,,,,,,case rate,,17572,,,,,,,case rate,,17572,,,,,,,case rate,,17572,,,,,,,case rate,,17923,,,,,,,case rate,,18802,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12934,26644,
25605 - TREAT FRACTURE RADIUS/ULNA,25605,CPT,,both,,,1957,1957,,523,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,523,3535,
259 - Cardiac pacemaker device replacement w/o MCC,259,MS-DRG,,inpatient,,,2094,2094,,165,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1321,,,,,,,fee schedule,,1321,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,854,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,779,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,854,,,,,,,fee schedule,,896,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,165,1321,
260 - Cardiac pacemaker revision except device replacement w MCC,260,MS-DRG,,inpatient,,,8617,8617,,178,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,178,4926,
26010 - DRAINAGE OF FINGER ABSCESS,26010,CPT,,both,,,1905,1905,,139,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,464,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,408,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,382,,,,,,,fee schedule,,835,,,,,,,fee schedule,,139,1880,
26055 - INCISE FINGER TENDON SHEATH,26055,CPT,,both,,,3442,3442,,317,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1611,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1418,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,2900,,,,,,,fee schedule,,290,2900,
261 - Cardiac pacemaker revision except device replacement w CC,261,MS-DRG,,inpatient,,,7524,7524,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1636,,,,,,,fee schedule,,1636,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1058,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,964,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1037,,,,,,,fee schedule,,1058,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,964,1636,
26180 - REMOVAL OF FINGER TENDON,26180,CPT,,both,,,3442,3442,,450,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1611,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1418,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1289,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,2900,,,,,,,fee schedule,,450,3535,
262 - Cardiac pacemaker revision except device replacement w/o CC/MCC,262,MS-DRG,,inpatient,,,,,,664,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,502,664,
264 - Other circulatory system O.R. procedures,264,MS-DRG,,inpatient,,,7690,7690,,1105,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1105,4854,
26418 - REPAIR FINGER TENDON,26418,CPT,,both,,,5294,5294,,580,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1734,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1526,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,580,3122,
26587 - RECONSTRUCT EXTRA FINGER,26587,CPT,,both,,,7142,7142,,923,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2647,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2330,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2118,,,,,,,fee schedule,,2181,,,,,,,fee schedule,,4765,,,,,,,fee schedule,,819,4765,
26600 - TREAT METACARPAL FRACTURE,26600,CPT,,both,,,382,382,,281,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,656,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,1965,
26605 - TREAT METACARPAL FRACTURE,26605,CPT,,both,,,510,510,,298,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,185,1965,
26645 - TREAT THUMB FRACTURE,26645,CPT,,both,,,30010,30010,,27481,,,,,,,case rate,,33066,,,,,,,case rate,,26696,,,,,,,case rate,,26696,,,,,,,case rate,,38267,,,,,,,case rate,,38267,,,,,,,case rate,,28562,,,,,,,case rate,,18576,,,,,,,case rate,,  ,,,,,,,case rate,,24643,,,,,,,case rate,,24643,,,,,,,case rate,,24643,,,,,,,case rate,,25136,,,,,,,case rate,,24643,,,,,,,case rate,,24643,,,,,,,case rate,,24643,,,,,,,case rate,,22918,,,,,,,case rate,,24643,,,,,,,case rate,,24643,,,,,,,case rate,,24643,,,,,,,case rate,,24643,,,,,,,case rate,,25136,,,,,,,case rate,,26368,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18576,38267,
26720 - TREAT FINGER FRACTURE EACH,26720,CPT,,both,,,191,191,,186,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,153,1965,
26725 - TREAT FINGER FRACTURE EACH,26725,CPT,,both,,,551,551,,308,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,185,1965,
26742 - TREAT FINGER FRACTURE EACH,26742,CPT,,both,,,568,568,,340,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,340,2172,
26770 - TREAT FINGER DISLOCATION,26770,CPT,,both,,,510,510,,256,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,185,1880,
268 - Aortic and heart assist procedures except pulsation balloon w MC,268,MS-DRG,,inpatient,,,15871,15871,,1354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1182,10017,
269 - Aortic & heart assist procedures except pulsation balloon w/o MC,269,MS-DRG,,inpatient,,,12332,12332,,703,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,532,7783,
270 - Other major cardiovascular procedures w MCC,270,MS-DRG,,inpatient,,,12812,12812,,1097,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1097,8086,
27040 - BIOPSY OF SOFT TISSUES,27040,CPT,,both,,,3317,3317,,204,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,204,2271,
27041 - BIOPSY OF SOFT TISSUES,27041,CPT,,both,,,38086,38086,,28109,,,,,,,case rate,,33822,,,,,,,case rate,,27306,,,,,,,case rate,,27306,,,,,,,case rate,,39142,,,,,,,case rate,,39142,,,,,,,case rate,,29215,,,,,,,case rate,,19001,,,,,,,case rate,,  ,,,,,,,case rate,,25176,,,,,,,case rate,,25176,,,,,,,case rate,,25176,,,,,,,case rate,,25679,,,,,,,case rate,,25176,,,,,,,case rate,,25176,,,,,,,case rate,,25176,,,,,,,case rate,,23413,,,,,,,case rate,,25176,,,,,,,case rate,,25176,,,,,,,case rate,,25176,,,,,,,case rate,,25176,,,,,,,case rate,,25679,,,,,,,case rate,,26938,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19001,39142,
27047 - EXC HIP/PELVIS LES SC < 3 CM,27047,CPT,,both,,,42420,42420,,32057,,,,,,,case rate,,38572,,,,,,,case rate,,31141,,,,,,,case rate,,31141,,,,,,,case rate,,44638,,,,,,,case rate,,44638,,,,,,,case rate,,33318,,,,,,,case rate,,21669,,,,,,,case rate,,  ,,,,,,,case rate,,28520,,,,,,,case rate,,28520,,,,,,,case rate,,28520,,,,,,,case rate,,29091,,,,,,,case rate,,28520,,,,,,,case rate,,28520,,,,,,,case rate,,28520,,,,,,,case rate,,26524,,,,,,,case rate,,28520,,,,,,,case rate,,28520,,,,,,,case rate,,28520,,,,,,,case rate,,28520,,,,,,,case rate,,29091,,,,,,,case rate,,30517,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21669,44638,
271 - Other major cardiovascular procedures w CC,271,MS-DRG,,inpatient,,,8040,8040,,392,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,2991,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3441,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,392,5074,
272 - Other major cardiovascular procedures w/o CC/MCC,272,MS-DRG,,inpatient,,,6165,6165,,869,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,691,3891,
27252 - TREAT HIP DISLOCATION,27252,CPT,,both,,,810,810,,782,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1278,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,592,2172,
27256 - TREAT HIP DISLOCATION,27256,CPT,,both,,,16066,16066,,20409,,,,,,,case rate,,24557,,,,,,,case rate,,19826,,,,,,,case rate,,19826,,,,,,,case rate,,28420,,,,,,,case rate,,28420,,,,,,,case rate,,21212,,,,,,,case rate,,13796,,,,,,,case rate,,  ,,,,,,,case rate,,18652,,,,,,,case rate,,18652,,,,,,,case rate,,18652,,,,,,,case rate,,19025,,,,,,,case rate,,18652,,,,,,,case rate,,18652,,,,,,,case rate,,18652,,,,,,,case rate,,17346,,,,,,,case rate,,18652,,,,,,,case rate,,18652,,,,,,,case rate,,18652,,,,,,,case rate,,18652,,,,,,,case rate,,19025,,,,,,,case rate,,19958,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13796,28420,
27265 - TREAT HIP DISLOCATION,27265,CPT,,both,,,510,510,,404,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,1880,
273 - Percutaneous and other intracardiac procedures with MCC,273,MS-DRG,,inpatient,,,11121,11121,,664,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,569,7019,
27323 - BIOPSY THIGH SOFT TISSUES,27323,CPT,,both,,,4241,4241,,182,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,182,4134,
27328 - EXC THIGH/KNEE TUM DEEP <5CM,27328,CPT,,both,,,64628,64628,,32787,,,,,,,case rate,,39451,,,,,,,case rate,,31850,,,,,,,case rate,,31850,,,,,,,case rate,,45656,,,,,,,case rate,,45656,,,,,,,case rate,,34077,,,,,,,case rate,,22163,,,,,,,case rate,,  ,,,,,,,case rate,,29139,,,,,,,case rate,,29139,,,,,,,case rate,,29139,,,,,,,case rate,,29722,,,,,,,case rate,,29139,,,,,,,case rate,,29139,,,,,,,case rate,,29139,,,,,,,case rate,,27099,,,,,,,case rate,,29139,,,,,,,case rate,,29139,,,,,,,case rate,,29139,,,,,,,case rate,,29139,,,,,,,case rate,,29722,,,,,,,case rate,,31179,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22163,45656,
27331 - EXPLORE/TREAT KNEE JOINT,27331,CPT,,both,,,43856,43856,,33843,,,,,,,case rate,,40721,,,,,,,case rate,,32876,,,,,,,case rate,,32876,,,,,,,case rate,,47125,,,,,,,case rate,,47125,,,,,,,case rate,,35174,,,,,,,case rate,,22877,,,,,,,case rate,,  ,,,,,,,case rate,,30033,,,,,,,case rate,,30033,,,,,,,case rate,,30033,,,,,,,case rate,,30634,,,,,,,case rate,,30033,,,,,,,case rate,,30033,,,,,,,case rate,,30033,,,,,,,case rate,,27931,,,,,,,case rate,,30033,,,,,,,case rate,,30033,,,,,,,case rate,,30033,,,,,,,case rate,,30033,,,,,,,case rate,,30634,,,,,,,case rate,,32136,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22877,47125,
27335 - REMOVE KNEE JOINT LINING,27335,CPT,,both,,,35390,35390,,53850,,,,,,,case rate,,64794,,,,,,,case rate,,52311,,,,,,,case rate,,52311,,,,,,,case rate,,74985,,,,,,,case rate,,74985,,,,,,,case rate,,55969,,,,,,,case rate,,36401,,,,,,,case rate,,  ,,,,,,,case rate,,46984,,,,,,,case rate,,46984,,,,,,,case rate,,46984,,,,,,,case rate,,47923,,,,,,,case rate,,46984,,,,,,,case rate,,46984,,,,,,,case rate,,46984,,,,,,,case rate,,43695,,,,,,,case rate,,46984,,,,,,,case rate,,46984,,,,,,,case rate,,46984,,,,,,,case rate,,46984,,,,,,,case rate,,47923,,,,,,,case rate,,50273,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36401,74985,
274 - Percutaneous and other intracardiac procedures without MCC,274,MS-DRG,,inpatient,,,7690,7690,,847,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,847,4854,
27403 - REPAIR OF KNEE CARTILAGE,27403,CPT,,both,,,15871,15871,,659,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2224,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1957,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,4003,,,,,,,fee schedule,,659,10017,
27477 - SURGERY TO STOP LEG GROWTH,27477,CPT,,both,,,119569,119569,,53041,,,,,,,case rate,,63821,,,,,,,case rate,,51525,,,,,,,case rate,,51525,,,,,,,case rate,,73859,,,,,,,case rate,,73859,,,,,,,case rate,,55128,,,,,,,case rate,,35854,,,,,,,case rate,,  ,,,,,,,case rate,,46298,,,,,,,case rate,,46298,,,,,,,case rate,,46298,,,,,,,case rate,,47224,,,,,,,case rate,,46298,,,,,,,case rate,,46298,,,,,,,case rate,,46298,,,,,,,case rate,,43058,,,,,,,case rate,,46298,,,,,,,case rate,,46298,,,,,,,case rate,,46298,,,,,,,case rate,,46298,,,,,,,case rate,,47224,,,,,,,case rate,,49539,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35854,73859,
27485 - SURGERY TO STOP LEG GROWTH,27485,CPT,,both,,,15871,15871,,692,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2224,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1957,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,4003,,,,,,,fee schedule,,692,10017,
27599 - UNLISTED PX FEMUR/KNEE,27599,CPT,,both,,,174110,174110,,18947,,,,,,,case rate,,22798,,,,,,,case rate,,18405,,,,,,,case rate,,18405,,,,,,,case rate,,26383,,,,,,,case rate,,26383,,,,,,,case rate,,19692,,,,,,,case rate,,12807,,,,,,,case rate,,  ,,,,,,,case rate,,17413,,,,,,,case rate,,17413,,,,,,,case rate,,17413,,,,,,,case rate,,17761,,,,,,,case rate,,17413,,,,,,,case rate,,17413,,,,,,,case rate,,17413,,,,,,,case rate,,16194,,,,,,,case rate,,17413,,,,,,,case rate,,17413,,,,,,,case rate,,17413,,,,,,,case rate,,17413,,,,,,,case rate,,17761,,,,,,,case rate,,18632,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12807,26383,
27603 - DRAIN LOWER LEG LESION,27603,CPT,,both,,,6198,6198,,401,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,957,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,401,3912,
27606 - INCISION OF ACHILLES TENDON,27606,CPT,,both,,,7142,7142,,289,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2224,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1957,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1779,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,4003,,,,,,,fee schedule,,289,4508,
27625 - REMOVE ANKLE JOINT LINING,27625,CPT,,both,,,31376,31376,,33860,,,,,,,case rate,,40742,,,,,,,case rate,,32892,,,,,,,case rate,,32892,,,,,,,case rate,,47149,,,,,,,case rate,,47149,,,,,,,case rate,,35192,,,,,,,case rate,,22888,,,,,,,case rate,,  ,,,,,,,case rate,,30048,,,,,,,case rate,,30048,,,,,,,case rate,,30048,,,,,,,case rate,,30649,,,,,,,case rate,,30048,,,,,,,case rate,,30048,,,,,,,case rate,,30048,,,,,,,case rate,,27945,,,,,,,case rate,,30048,,,,,,,case rate,,30048,,,,,,,case rate,,30048,,,,,,,case rate,,30048,,,,,,,case rate,,30649,,,,,,,case rate,,32151,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22888,47149,
27760 - CLTX MEDIAL ANKLE FX,27760,CPT,,both,,,14407,14407,,19181,,,,,,,case rate,,23079,,,,,,,case rate,,18633,,,,,,,case rate,,18633,,,,,,,case rate,,26709,,,,,,,case rate,,26709,,,,,,,case rate,,19936,,,,,,,case rate,,12966,,,,,,,case rate,,  ,,,,,,,case rate,,17611,,,,,,,case rate,,17611,,,,,,,case rate,,17611,,,,,,,case rate,,17964,,,,,,,case rate,,17611,,,,,,,case rate,,17611,,,,,,,case rate,,17611,,,,,,,case rate,,16379,,,,,,,case rate,,17611,,,,,,,case rate,,17611,,,,,,,case rate,,17611,,,,,,,case rate,,17611,,,,,,,case rate,,17964,,,,,,,case rate,,18844,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12966,26709,
27788 - TREATMENT OF ANKLE FRACTURE,27788,CPT,,both,,,510,510,,392,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,185,1880,
27808 - TREATMENT OF ANKLE FRACTURE,27808,CPT,,both,,,243,243,,306,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,1880,
27810 - TREATMENT OF ANKLE FRACTURE,27810,CPT,,both,,,1957,1957,,432,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,623,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,566,,,,,,,fee schedule,,583,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,432,2172,
27818 - TREATMENT OF ANKLE FRACTURE,27818,CPT,,both,,,29827,29827,,27597,,,,,,,case rate,,33206,,,,,,,case rate,,26809,,,,,,,case rate,,26809,,,,,,,case rate,,38429,,,,,,,case rate,,38429,,,,,,,case rate,,28683,,,,,,,case rate,,18655,,,,,,,case rate,,  ,,,,,,,case rate,,24742,,,,,,,case rate,,24742,,,,,,,case rate,,24742,,,,,,,case rate,,25237,,,,,,,case rate,,24742,,,,,,,case rate,,24742,,,,,,,case rate,,24742,,,,,,,case rate,,23010,,,,,,,case rate,,24742,,,,,,,case rate,,24742,,,,,,,case rate,,24742,,,,,,,case rate,,24742,,,,,,,case rate,,25237,,,,,,,case rate,,26474,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18655,38429,
"280 - Acute myocardial infarction, discharged alive w MCC",280,MS-DRG,,inpatient,,,,,,527,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,479,527,
"281 - Acute myocardial infarction, discharged alive w CC",281,MS-DRG,,inpatient,,,100,100,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,79,,,,,,,fee schedule,,79,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,51,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,46,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,79,
28120 - PART REMOVAL OF ANKLE/HEEL,28120,CPT,,both,,,9587,9587,,1545,,,,,,,fee schedule,,4198,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3504,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,3083,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2887,,,,,,,fee schedule,,6307,,,,,,,fee schedule,,1545,6307,
"282 - Acute myocardial infarction, discharged alive w/o CC/MCC",282,MS-DRG,,inpatient,,,2093,2093,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,8,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,10,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8,14,
28232 - INCISION OF TOE TENDON,28232,CPT,,both,,,34965,34965,,27436,,,,,,,case rate,,33011,,,,,,,case rate,,26651,,,,,,,case rate,,26651,,,,,,,case rate,,38203,,,,,,,case rate,,38203,,,,,,,case rate,,28515,,,,,,,case rate,,18545,,,,,,,case rate,,  ,,,,,,,case rate,,24605,,,,,,,case rate,,24605,,,,,,,case rate,,24605,,,,,,,case rate,,25097,,,,,,,case rate,,24605,,,,,,,case rate,,24605,,,,,,,case rate,,24605,,,,,,,case rate,,22883,,,,,,,case rate,,24605,,,,,,,case rate,,24605,,,,,,,case rate,,24605,,,,,,,case rate,,24605,,,,,,,case rate,,25097,,,,,,,case rate,,26327,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18545,38203,
28270 - RELEASE OF FOOT CONTRACTURE,28270,CPT,,both,,,7142,7142,,335,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2068,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1820,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1704,,,,,,,fee schedule,,3722,,,,,,,fee schedule,,335,4508,
28272 - RELEASE OF TOE JOINT EACH,28272,CPT,,both,,,31176,31176,,27453,,,,,,,case rate,,33032,,,,,,,case rate,,26668,,,,,,,case rate,,26668,,,,,,,case rate,,38227,,,,,,,case rate,,38227,,,,,,,case rate,,28533,,,,,,,case rate,,18557,,,,,,,case rate,,  ,,,,,,,case rate,,24619,,,,,,,case rate,,24619,,,,,,,case rate,,24619,,,,,,,case rate,,25112,,,,,,,case rate,,24619,,,,,,,case rate,,24619,,,,,,,case rate,,24619,,,,,,,case rate,,22896,,,,,,,case rate,,24619,,,,,,,case rate,,24619,,,,,,,case rate,,24619,,,,,,,case rate,,24619,,,,,,,case rate,,25112,,,,,,,case rate,,26343,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18557,38227,
28285 - REPAIR OF HAMMERTOE,28285,CPT,,both,,,7142,7142,,378,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2068,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1820,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1704,,,,,,,fee schedule,,3722,,,,,,,fee schedule,,378,4508,
28289 - CORRJ HALUX RIGDUS W/O IMPLT,28289,CPT,,both,,,7142,7142,,551,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2638,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2322,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2174,,,,,,,fee schedule,,4749,,,,,,,fee schedule,,551,4749,
28298 - CORRECTION HALLUX VALGUS,28298,CPT,,both,,,15871,15871,,508,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2638,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2322,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2174,,,,,,,fee schedule,,4749,,,,,,,fee schedule,,508,10017,
28299 - CORRECTION HALLUX VALGUS,28299,CPT,,both,,,15871,15871,,676,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2638,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2322,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2111,,,,,,,fee schedule,,2174,,,,,,,fee schedule,,4749,,,,,,,fee schedule,,676,10017,
"283 - Acute myocardial infarction, expired w MCC",283,MS-DRG,,inpatient,,,2344,2344,,171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1692,,,,,,,fee schedule,,1692,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1094,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,997,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1094,,,,,,,fee schedule,,1147,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,1692,
28300 - INCISION OF HEEL BONE,28300,CPT,,both,,,15871,15871,,665,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2638,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,665,10017,
28308 - INCISION OF METATARSAL,28308,CPT,,both,,,7142,7142,,380,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2068,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1820,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1704,,,,,,,fee schedule,,3722,,,,,,,fee schedule,,380,4508,
28310 - REVISION OF BIG TOE,28310,CPT,,both,,,151135,151135,,53024,,,,,,,case rate,,63800,,,,,,,case rate,,51508,,,,,,,case rate,,51508,,,,,,,case rate,,73834,,,,,,,case rate,,73834,,,,,,,case rate,,55110,,,,,,,case rate,,35842,,,,,,,case rate,,  ,,,,,,,case rate,,46284,,,,,,,case rate,,46284,,,,,,,case rate,,46284,,,,,,,case rate,,47209,,,,,,,case rate,,46284,,,,,,,case rate,,46284,,,,,,,case rate,,46284,,,,,,,case rate,,43044,,,,,,,case rate,,46284,,,,,,,case rate,,46284,,,,,,,case rate,,46284,,,,,,,case rate,,46284,,,,,,,case rate,,47209,,,,,,,case rate,,49524,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35842,73834,
28344 - REPAIR EXTRA TOE(S),28344,CPT,,both,,,34242,34242,,33178,,,,,,,case rate,,39921,,,,,,,case rate,,32230,,,,,,,case rate,,32230,,,,,,,case rate,,46200,,,,,,,case rate,,46200,,,,,,,case rate,,34484,,,,,,,case rate,,22427,,,,,,,case rate,,  ,,,,,,,case rate,,29470,,,,,,,case rate,,29470,,,,,,,case rate,,29470,,,,,,,case rate,,30060,,,,,,,case rate,,29470,,,,,,,case rate,,29470,,,,,,,case rate,,29470,,,,,,,case rate,,27407,,,,,,,case rate,,29470,,,,,,,case rate,,29470,,,,,,,case rate,,29470,,,,,,,case rate,,29470,,,,,,,case rate,,30060,,,,,,,case rate,,31533,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22427,46200,
"284 - Acute myocardial infarction, expired w CC",284,MS-DRG,,inpatient,,,122,122,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,10,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,12,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10,18,
28430 - TREATMENT OF ANKLE FRACTURE,28430,CPT,,both,,,14156,14156,,19005,,,,,,,case rate,,22868,,,,,,,case rate,,18462,,,,,,,case rate,,18462,,,,,,,case rate,,26464,,,,,,,case rate,,26464,,,,,,,case rate,,19753,,,,,,,case rate,,12847,,,,,,,case rate,,  ,,,,,,,case rate,,17462,,,,,,,case rate,,17462,,,,,,,case rate,,17462,,,,,,,case rate,,17812,,,,,,,case rate,,17462,,,,,,,case rate,,17462,,,,,,,case rate,,17462,,,,,,,case rate,,16240,,,,,,,case rate,,17462,,,,,,,case rate,,17462,,,,,,,case rate,,17462,,,,,,,case rate,,17462,,,,,,,case rate,,17812,,,,,,,case rate,,18685,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12847,26464,
28495 - TREAT BIG TOE FRACTURE,28495,CPT,,both,,,14324,14324,,18839,,,,,,,case rate,,22667,,,,,,,case rate,,18300,,,,,,,case rate,,18300,,,,,,,case rate,,26232,,,,,,,case rate,,26232,,,,,,,case rate,,19580,,,,,,,case rate,,12734,,,,,,,case rate,,  ,,,,,,,case rate,,17321,,,,,,,case rate,,17321,,,,,,,case rate,,17321,,,,,,,case rate,,17668,,,,,,,case rate,,17321,,,,,,,case rate,,17321,,,,,,,case rate,,17321,,,,,,,case rate,,16109,,,,,,,case rate,,17321,,,,,,,case rate,,17321,,,,,,,case rate,,17321,,,,,,,case rate,,17321,,,,,,,case rate,,17668,,,,,,,case rate,,18534,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12734,26232,
28510 - TREATMENT OF TOE FRACTURE,28510,CPT,,both,,,191,191,,122,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,708,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,122,1965,
"286 - Circulatory disorders except AMI, w card cath w MCC",286,MS-DRG,,inpatient,,,4141,4141,,429,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,429,2613,
28630 - TREAT TOE DISLOCATION,28630,CPT,,both,,,12216,12216,,18824,,,,,,,case rate,,22650,,,,,,,case rate,,18286,,,,,,,case rate,,18286,,,,,,,case rate,,26213,,,,,,,case rate,,26213,,,,,,,case rate,,19565,,,,,,,case rate,,12725,,,,,,,case rate,,  ,,,,,,,case rate,,17309,,,,,,,case rate,,17309,,,,,,,case rate,,17309,,,,,,,case rate,,17656,,,,,,,case rate,,17309,,,,,,,case rate,,17309,,,,,,,case rate,,17309,,,,,,,case rate,,16098,,,,,,,case rate,,17309,,,,,,,case rate,,17309,,,,,,,case rate,,17309,,,,,,,case rate,,17309,,,,,,,case rate,,17656,,,,,,,case rate,,18521,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12725,26213,
28645 - REPAIR TOE DISLOCATION,28645,CPT,,both,,,22271,22271,,33347,,,,,,,case rate,,40124,,,,,,,case rate,,32393,,,,,,,case rate,,32393,,,,,,,case rate,,46434,,,,,,,case rate,,46434,,,,,,,case rate,,34658,,,,,,,case rate,,22541,,,,,,,case rate,,  ,,,,,,,case rate,,29613,,,,,,,case rate,,29613,,,,,,,case rate,,29613,,,,,,,case rate,,30205,,,,,,,case rate,,29613,,,,,,,case rate,,29613,,,,,,,case rate,,29613,,,,,,,case rate,,27540,,,,,,,case rate,,29613,,,,,,,case rate,,29613,,,,,,,case rate,,29613,,,,,,,case rate,,29613,,,,,,,case rate,,30205,,,,,,,case rate,,31686,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22541,46434,
"287 - Circulatory disorders except AMI, w card cath w/o MCC",287,MS-DRG,,inpatient,,,768,768,,69,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,69,139,
28899 - UNLISTED PX FOOT/TOES,28899,CPT,,both,,,18297,18297,,19048,,,,,,,case rate,,22919,,,,,,,case rate,,18503,,,,,,,case rate,,18503,,,,,,,case rate,,26523,,,,,,,case rate,,26523,,,,,,,case rate,,19797,,,,,,,case rate,,12875,,,,,,,case rate,,  ,,,,,,,case rate,,17498,,,,,,,case rate,,17498,,,,,,,case rate,,17498,,,,,,,case rate,,17848,,,,,,,case rate,,17498,,,,,,,case rate,,17498,,,,,,,case rate,,17498,,,,,,,case rate,,16273,,,,,,,case rate,,17498,,,,,,,case rate,,17498,,,,,,,case rate,,17498,,,,,,,case rate,,17498,,,,,,,case rate,,17848,,,,,,,case rate,,18723,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12875,26523,
289 - Acute & subacute endocarditis w CC,289,MS-DRG,,inpatient,,,243,243,,315,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,315,
291 - Heart failure & shock w MCC,291,MS-DRG,,inpatient,,,1151,1151,,168,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,95,253,
29105 - APPLY LONG ARM SPLINT,29105,CPT,,both,,,413,413,,60,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,292,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,257,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,241,,,,,,,fee schedule,,526,,,,,,,fee schedule,,60,1880,
29125 - APPLY FOREARM SPLINT,29125,CPT,,both,,,382,382,,40,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,292,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,257,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,241,,,,,,,fee schedule,,526,,,,,,,fee schedule,,40,1880,
29130 - APPLICATION OF FINGER SPLINT,29130,CPT,,both,,,346,346,,29,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,316,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,278,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,261,,,,,,,fee schedule,,569,,,,,,,fee schedule,,29,1880,
292 - Heart failure & shock w CC,292,MS-DRG,,inpatient,,,591,591,,50,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,50,50,
293 - Heart failure & shock w/o CC/MCC,293,MS-DRG,,inpatient,,,324,324,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,1,
29505 - APPLICATION LONG LEG SPLINT,29505,CPT,,both,,,233,233,,51,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,316,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,278,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,261,,,,,,,fee schedule,,569,,,,,,,fee schedule,,51,1880,
29515 - APPLICATION LOWER LEG SPLINT,29515,CPT,,both,,,409,409,,50,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,292,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,257,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,241,,,,,,,fee schedule,,526,,,,,,,fee schedule,,50,1880,
29540 - STRAPPING OF ANKLE AND/OR FT,29540,CPT,,both,,,233,233,,18,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,292,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,257,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,241,,,,,,,fee schedule,,526,,,,,,,fee schedule,,18,1880,
29580 - APPLICATION OF PASTE BOOT,29580,CPT,,both,,,262,262,,36,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,390,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,312,,,,,,,fee schedule,,312,,,,,,,fee schedule,,312,,,,,,,fee schedule,,312,,,,,,,fee schedule,,312,,,,,,,fee schedule,,312,,,,,,,fee schedule,,343,,,,,,,fee schedule,,312,,,,,,,fee schedule,,312,,,,,,,fee schedule,,312,,,,,,,fee schedule,,321,,,,,,,fee schedule,,702,,,,,,,fee schedule,,36,1880,
29581 - APPLY MULTLAY COMPRS LWR LEG,29581,CPT,,both,,,345,345,,12,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,531,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12,1880,
"296 - Cardiac arrest, unexplained w MCC",296,MS-DRG,,inpatient,,,482,482,,54,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,54,589,
"297 - Cardiac arrest, unexplained w CC",297,MS-DRG,,inpatient,,,156,156,,9,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9,16,
"298 - Cardiac arrest, unexplained w/o CC/MCC",298,MS-DRG,,inpatient,,,94113,94113,,  ,,,,,,,fee schedule,,34421,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,42682,,,,,,,fee schedule,,42682,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34421,42682,
29823 - SHO ARTHRS SRG XTNSV DBRDMT,29823,CPT,,both,,,7142,7142,,633,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2310,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,2033,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1848,,,,,,,fee schedule,,1903,,,,,,,fee schedule,,4158,,,,,,,fee schedule,,633,4508,
29879 - KNEE ARTHROSCOPY/SURGERY,29879,CPT,,both,,,7142,7142,,683,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2310,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,683,4508,
299 - Peripheral vascular disorders w MCC,299,MS-DRG,,inpatient,,,,,,493,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,315,493,
29999 - UNLISTED PX ARTHROSCOPY,29999,CPT,,both,,,43650,43650,,28122,,,,,,,case rate,,33837,,,,,,,case rate,,27318,,,,,,,case rate,,27318,,,,,,,case rate,,39159,,,,,,,case rate,,39159,,,,,,,case rate,,29228,,,,,,,case rate,,19009,,,,,,,case rate,,  ,,,,,,,case rate,,25186,,,,,,,case rate,,25186,,,,,,,case rate,,25186,,,,,,,case rate,,25690,,,,,,,case rate,,25186,,,,,,,case rate,,25186,,,,,,,case rate,,25186,,,,,,,case rate,,23423,,,,,,,case rate,,25186,,,,,,,case rate,,25186,,,,,,,case rate,,25186,,,,,,,case rate,,25186,,,,,,,case rate,,25690,,,,,,,case rate,,26949,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19009,39159,
300 - Peripheral vascular disorders w CC,300,MS-DRG,,inpatient,,,627,627,,76,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,76,132,
30020 - DRAINAGE OF NOSE LESION,30020,CPT,,both,,,20232,20232,,23212,,,,,,,case rate,,27929,,,,,,,case rate,,22548,,,,,,,case rate,,22548,,,,,,,case rate,,32322,,,,,,,case rate,,32322,,,,,,,case rate,,24125,,,,,,,case rate,,15690,,,,,,,case rate,,  ,,,,,,,case rate,,21026,,,,,,,case rate,,21026,,,,,,,case rate,,21026,,,,,,,case rate,,21447,,,,,,,case rate,,21026,,,,,,,case rate,,21026,,,,,,,case rate,,21026,,,,,,,case rate,,19554,,,,,,,case rate,,21026,,,,,,,case rate,,21026,,,,,,,case rate,,21026,,,,,,,case rate,,21026,,,,,,,case rate,,21447,,,,,,,case rate,,22498,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15690,32322,
301 - Peripheral vascular disorders w/o CC/MCC,301,MS-DRG,,inpatient,,,138,138,,6,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,13,
30130 - EXCISE INFERIOR TURBINATE,30130,CPT,,both,,,6826,6826,,402,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,325,4308,
30140 - RESECT INFERIOR TURBINATE,30140,CPT,,both,,,6826,6826,,466,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,358,4308,
302 - Atherosclerosis w MCC,302,MS-DRG,,inpatient,,,168,168,,20,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20,162,
303 - Atherosclerosis w/o MCC,303,MS-DRG,,inpatient,,,124,124,,4,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,9,
30300 - REMOVE NASAL FOREIGN BODY,30300,CPT,,both,,,428,428,,111,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,195,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,171,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,160,,,,,,,fee schedule,,350,,,,,,,fee schedule,,61,1880,
304 - Hypertension w MCC,304,MS-DRG,,inpatient,,,637,637,,74,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,48,162,
30400 - RECONSTRUCTION OF NOSE,30400,CPT,,both,,,12812,12812,,1067,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3790,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3549,,,,,,,fee schedule,,7753,,,,,,,fee schedule,,830,8086,
30420 - RECONSTRUCTION OF NOSE,30420,CPT,,both,,,12812,12812,,1446,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3790,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3549,,,,,,,fee schedule,,7753,,,,,,,fee schedule,,1243,8086,
30465 - REPAIR NASAL STENOSIS,30465,CPT,,both,,,25470,25470,,465,,,,,,,fee schedule,,6850,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,1364,,,,,,,fee schedule,,1364,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,465,16075,
305 - Hypertension w/o MCC,305,MS-DRG,,inpatient,,,50,50,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,22,
30520 - REPAIR OF NASAL SEPTUM,30520,CPT,,both,,,6826,6826,,658,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2640,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2472,,,,,,,fee schedule,,5400,,,,,,,fee schedule,,513,5400,
306 - Cardiac congenital & valvular disorders w MCC,306,MS-DRG,,inpatient,,,704,704,,113,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,195,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,172,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,161,,,,,,,fee schedule,,351,,,,,,,fee schedule,,83,378,
308 - Cardiac arrhythmia & conduction disorders w MCC,308,MS-DRG,,inpatient,,,1,1,,133,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,133,187,
30801 - ABLATE INF TURBINATE SUPERF,30801,CPT,,both,,,3331,3331,,144,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,163,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,144,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,135,,,,,,,fee schedule,,294,,,,,,,fee schedule,,131,2102,
30802 - ABLATE INF TURBINATE SUBMUC,30802,CPT,,both,,,3331,3331,,201,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,201,2855,
309 - Cardiac arrhythmia & conduction disorders w CC,309,MS-DRG,,inpatient,,,50,50,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,13,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,11,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,19,
30901 - CONTROL OF NOSEBLEED,30901,CPT,,both,,,372,372,,60,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,211,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,380,,,,,,,fee schedule,,60,1880,
30930 - THER FX NASAL INF TURBINATE,30930,CPT,,both,,,6826,6826,,130,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,130,4308,
30999 - UNLISTED PROCEDURE NOSE,30999,CPT,,both,,,341,341,,  ,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1707,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,1880,
310 - Cardiac arrhythmia & conduction disorders w/o CC/MCC,310,MS-DRG,,inpatient,,,78750,78750,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,1,
311 - Angina pectoris,311,MS-DRG,,inpatient,,,152,152,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12,12,
312 - Syncope & collapse,312,MS-DRG,,inpatient,,,208,208,,52,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30,52,
31205 - REMOVAL OF ETHMOID SINUS,31205,CPT,,both,,,6826,6826,,928,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3790,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3549,,,,,,,fee schedule,,7753,,,,,,,fee schedule,,813,7753,
31231 - NASAL ENDOSCOPY DX,31231,CPT,,both,,,549,549,,68,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,271,,,,,,,fee schedule,,271,,,,,,,fee schedule,,84,,,,,,,fee schedule,,84,,,,,,,fee schedule,,505,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,175,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,160,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,175,,,,,,,fee schedule,,184,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,68,1880,
31237 - NASAL/SINUS ENDOSCOPY SURG,31237,CPT,,both,,,4503,4503,,171,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,171,2421,
31238 - NASAL/SINUS ENDOSCOPY SURG,31238,CPT,,both,,,4248,4248,,179,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,179,2421,
31240 - NASAL/SINUS ENDOSCOPY SURG,31240,CPT,,both,,,3836,3836,,171,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,171,2421,
31241 - NSL/SINS NDSC W/ARTERY LIG,31241,CPT,,both,,,26583,26583,,28579,,,,,,,case rate,,34387,,,,,,,case rate,,27762,,,,,,,case rate,,27762,,,,,,,case rate,,39796,,,,,,,case rate,,39796,,,,,,,case rate,,29704,,,,,,,case rate,,19318,,,,,,,case rate,,  ,,,,,,,case rate,,25574,,,,,,,case rate,,25574,,,,,,,case rate,,25574,,,,,,,case rate,,26085,,,,,,,case rate,,25574,,,,,,,case rate,,25574,,,,,,,case rate,,25574,,,,,,,case rate,,23784,,,,,,,case rate,,25574,,,,,,,case rate,,25574,,,,,,,case rate,,25574,,,,,,,case rate,,25574,,,,,,,case rate,,26085,,,,,,,case rate,,27364,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19318,39796,
31253 - NSL/SINS NDSC TOTAL,31253,CPT,,both,,,43011,43011,,52920,,,,,,,case rate,,63675,,,,,,,case rate,,51408,,,,,,,case rate,,51408,,,,,,,case rate,,73690,,,,,,,case rate,,73690,,,,,,,case rate,,55002,,,,,,,case rate,,35772,,,,,,,case rate,,  ,,,,,,,case rate,,46196,,,,,,,case rate,,46196,,,,,,,case rate,,46196,,,,,,,case rate,,47120,,,,,,,case rate,,46196,,,,,,,case rate,,46196,,,,,,,case rate,,46196,,,,,,,case rate,,42962,,,,,,,case rate,,46196,,,,,,,case rate,,46196,,,,,,,case rate,,46196,,,,,,,case rate,,46196,,,,,,,case rate,,47120,,,,,,,case rate,,49430,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35772,73690,
31254 - NSL/SINS NDSC W/PRTL ETHMDCT,31254,CPT,,both,,,14845,14845,,289,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1761,,,,,,,fee schedule,,3846,,,,,,,fee schedule,,289,9369,
31256 - EXPLORATION MAXILLARY SINUS,31256,CPT,,both,,,7999,7999,,209,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1761,,,,,,,fee schedule,,3846,,,,,,,fee schedule,,209,5048,
31257 - NSL/SINS NDSC TOT W/SPHENDT,31257,CPT,,both,,,14845,14845,,467,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2124,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1869,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1751,,,,,,,fee schedule,,3824,,,,,,,fee schedule,,467,9369,
31259 - NSL/SINS NDSC SPHN TISS RMVL,31259,CPT,,both,,,14845,14845,,495,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2124,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1869,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1751,,,,,,,fee schedule,,3824,,,,,,,fee schedule,,495,9369,
31267 - ENDOSCOPY MAXILLARY SINUS,31267,CPT,,both,,,14845,14845,,336,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1761,,,,,,,fee schedule,,3846,,,,,,,fee schedule,,336,9369,
31276 - NSL/SINS NDSC FRNT TISS RMVL,31276,CPT,,both,,,14845,14845,,534,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1761,,,,,,,fee schedule,,3846,,,,,,,fee schedule,,534,9369,
31287 - NASAL/SINUS ENDOSCOPY SURG,31287,CPT,,both,,,53319,53319,,52681,,,,,,,case rate,,63388,,,,,,,case rate,,51176,,,,,,,case rate,,51176,,,,,,,case rate,,73358,,,,,,,case rate,,73358,,,,,,,case rate,,54754,,,,,,,case rate,,35611,,,,,,,case rate,,  ,,,,,,,case rate,,45994,,,,,,,case rate,,45994,,,,,,,case rate,,45994,,,,,,,case rate,,46914,,,,,,,case rate,,45994,,,,,,,case rate,,45994,,,,,,,case rate,,45994,,,,,,,case rate,,42774,,,,,,,case rate,,45994,,,,,,,case rate,,45994,,,,,,,case rate,,45994,,,,,,,case rate,,45994,,,,,,,case rate,,46914,,,,,,,case rate,,49213,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35611,73358,
31296 - NSL/SINS NDSC SURG FRNT SINS,31296,CPT,,both,,,46299,46299,,52499,,,,,,,case rate,,63169,,,,,,,case rate,,50999,,,,,,,case rate,,50999,,,,,,,case rate,,73104,,,,,,,case rate,,73104,,,,,,,case rate,,54565,,,,,,,case rate,,35488,,,,,,,case rate,,  ,,,,,,,case rate,,45839,,,,,,,case rate,,45839,,,,,,,case rate,,45839,,,,,,,case rate,,46756,,,,,,,case rate,,45839,,,,,,,case rate,,45839,,,,,,,case rate,,45839,,,,,,,case rate,,42631,,,,,,,case rate,,45839,,,,,,,case rate,,45839,,,,,,,case rate,,45839,,,,,,,case rate,,45839,,,,,,,case rate,,46756,,,,,,,case rate,,49048,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35488,73104,
313 - Chest pain,313,MS-DRG,,inpatient,,,76,76,,14,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9,14,
314 - Other circulatory system diagnoses w MCC,314,MS-DRG,,inpatient,,,2485,2485,,136,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,136,2271,
315 - Other circulatory system diagnoses w CC,315,MS-DRG,,inpatient,,,164,164,,74,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,74,98,
31500 - INSERT EMERGENCY AIRWAY,31500,CPT,,both,,,770,770,,114,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,803,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,642,,,,,,,fee schedule,,642,,,,,,,fee schedule,,642,,,,,,,fee schedule,,642,,,,,,,fee schedule,,642,,,,,,,fee schedule,,642,,,,,,,fee schedule,,706,,,,,,,fee schedule,,642,,,,,,,fee schedule,,642,,,,,,,fee schedule,,642,,,,,,,fee schedule,,661,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,114,1880,
31502 - CHANGE OF WINDPIPE AIRWAY,31502,CPT,,both,,,402,402,,37,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,211,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,380,,,,,,,fee schedule,,37,1880,
31525 - DX LARYNGOSCOPY EXCL NB,31525,CPT,,both,,,3836,3836,,171,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,171,2421,
31526 - DX LARYNGOSCOPY W/OPER SCOPE,31526,CPT,,both,,,3836,3836,,168,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,168,2421,
31528 - LARYNGOSCOPY AND DILATION,31528,CPT,,both,,,7999,7999,,154,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,154,5048,
31529 - LARYNGOSCOPY AND DILATION,31529,CPT,,both,,,70143,70143,,37726,,,,,,,case rate,,45393,,,,,,,case rate,,36648,,,,,,,case rate,,36648,,,,,,,case rate,,52532,,,,,,,case rate,,52532,,,,,,,case rate,,39210,,,,,,,case rate,,25501,,,,,,,case rate,,  ,,,,,,,case rate,,33323,,,,,,,case rate,,33323,,,,,,,case rate,,33323,,,,,,,case rate,,33989,,,,,,,case rate,,33323,,,,,,,case rate,,33323,,,,,,,case rate,,33323,,,,,,,case rate,,30990,,,,,,,case rate,,33323,,,,,,,case rate,,33323,,,,,,,case rate,,33323,,,,,,,case rate,,33323,,,,,,,case rate,,33989,,,,,,,case rate,,35656,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25501,52532,
31535 - LARYNGOSCOPY W/BIOPSY,31535,CPT,,both,,,7999,7999,,202,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,202,5048,
31541 - LARYNSCOP W/TUMR EXC + SCOPE,31541,CPT,,both,,,7999,7999,,281,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,1761,,,,,,,fee schedule,,3846,,,,,,,fee schedule,,281,5048,
31571 - LARYNGOSCOP W/VC INJ + SCOPE,31571,CPT,,both,,,7999,7999,,267,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,267,5048,
31575 - DIAGNOSTIC LARYNGOSCOPY,31575,CPT,,both,,,489,489,,81,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,271,,,,,,,fee schedule,,271,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,505,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,175,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,160,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,175,,,,,,,fee schedule,,184,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,37,1965,
31579 - LARYNGOSCOPY TELESCOPIC,31579,CPT,,both,,,1065,1065,,150,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,571,,,,,,,fee schedule,,571,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,654,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,369,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,369,,,,,,,fee schedule,,387,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,575,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,539,,,,,,,fee schedule,,1177,,,,,,,fee schedule,,150,1880,
31591 - LARYNGOPLASTY MEDIALIZATION,31591,CPT,,both,,,33309,33309,,52075,,,,,,,case rate,,62658,,,,,,,case rate,,50587,,,,,,,case rate,,50587,,,,,,,case rate,,72513,,,,,,,case rate,,72513,,,,,,,case rate,,54124,,,,,,,case rate,,35201,,,,,,,case rate,,  ,,,,,,,case rate,,45480,,,,,,,case rate,,45480,,,,,,,case rate,,45480,,,,,,,case rate,,46390,,,,,,,case rate,,45480,,,,,,,case rate,,45480,,,,,,,case rate,,45480,,,,,,,case rate,,42296,,,,,,,case rate,,45480,,,,,,,case rate,,45480,,,,,,,case rate,,45480,,,,,,,case rate,,45480,,,,,,,case rate,,46390,,,,,,,case rate,,48664,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35201,72513,
316 - Other circulatory system diagnoses w/o CC/MCC,316,MS-DRG,,inpatient,,,128,128,,11,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8,11,
31611 - SURGERY/SPEECH PROSTHESIS,31611,CPT,,both,,,61193,61193,,33160,,,,,,,case rate,,39899,,,,,,,case rate,,32212,,,,,,,case rate,,32212,,,,,,,case rate,,46174,,,,,,,case rate,,46174,,,,,,,case rate,,34464,,,,,,,case rate,,22415,,,,,,,case rate,,  ,,,,,,,case rate,,29454,,,,,,,case rate,,29454,,,,,,,case rate,,29454,,,,,,,case rate,,30043,,,,,,,case rate,,29454,,,,,,,case rate,,29454,,,,,,,case rate,,29454,,,,,,,case rate,,27393,,,,,,,case rate,,29454,,,,,,,case rate,,29454,,,,,,,case rate,,29454,,,,,,,case rate,,29454,,,,,,,case rate,,30043,,,,,,,case rate,,31516,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22415,46174,
31615 - VISUALIZATION OF WINDPIPE,31615,CPT,,both,,,2485,2485,,136,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,692,,,,,,,fee schedule,,692,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1494,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,408,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,469,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1315,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1195,,,,,,,fee schedule,,1231,,,,,,,fee schedule,,2689,,,,,,,fee schedule,,136,2689,
31622 - DX BRONCHOSCOPE/WASH,31622,CPT,,both,,,20814,20814,,28436,,,,,,,case rate,,34215,,,,,,,case rate,,27623,,,,,,,case rate,,27623,,,,,,,case rate,,39597,,,,,,,case rate,,39597,,,,,,,case rate,,29555,,,,,,,case rate,,19222,,,,,,,case rate,,  ,,,,,,,case rate,,25453,,,,,,,case rate,,25453,,,,,,,case rate,,25453,,,,,,,case rate,,25962,,,,,,,case rate,,25453,,,,,,,case rate,,25453,,,,,,,case rate,,25453,,,,,,,case rate,,23671,,,,,,,case rate,,25453,,,,,,,case rate,,25453,,,,,,,case rate,,25453,,,,,,,case rate,,25453,,,,,,,case rate,,25962,,,,,,,case rate,,27234,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19222,39597,
31624 - DX BRONCHOSCOPE/LAVAGE,31624,CPT,,both,,,3836,3836,,153,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1503,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,3074,,,,,,,fee schedule,,153,4134,
31625 - BRONCHOSCOPY W/BIOPSY(S),31625,CPT,,both,,,3836,3836,,175,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1503,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,3074,,,,,,,fee schedule,,175,3074,
31628 - BRONCHOSCOPY/LUNG BX EACH,31628,CPT,,both,,,7999,7999,,194,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1503,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,3074,,,,,,,fee schedule,,194,5048,
31629 - BRONCHOSCOPY/NEEDLE BX EACH,31629,CPT,,both,,,29607,29607,,38320,,,,,,,case rate,,46107,,,,,,,case rate,,37224,,,,,,,case rate,,37224,,,,,,,case rate,,53359,,,,,,,case rate,,53359,,,,,,,case rate,,39827,,,,,,,case rate,,25903,,,,,,,case rate,,  ,,,,,,,case rate,,33826,,,,,,,case rate,,33826,,,,,,,case rate,,33826,,,,,,,case rate,,34503,,,,,,,case rate,,33826,,,,,,,case rate,,33826,,,,,,,case rate,,33826,,,,,,,case rate,,31458,,,,,,,case rate,,33826,,,,,,,case rate,,33826,,,,,,,case rate,,33826,,,,,,,case rate,,33826,,,,,,,case rate,,34503,,,,,,,case rate,,36194,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25903,53359,
31633 - BRONCHOSCOPY/NEEDLE BX ADDL,31633,CPT,,both,,,9600,9600,,12299,,,,,,,case rate,,14799,,,,,,,case rate,,11948,,,,,,,case rate,,11948,,,,,,,case rate,,17127,,,,,,,case rate,,17127,,,,,,,case rate,,12783,,,,,,,case rate,,8314,,,,,,,case rate,,  ,,,,,,,case rate,,11781,,,,,,,case rate,,11781,,,,,,,case rate,,11781,,,,,,,case rate,,12017,,,,,,,case rate,,11781,,,,,,,case rate,,11781,,,,,,,case rate,,11781,,,,,,,case rate,,10956,,,,,,,case rate,,11781,,,,,,,case rate,,11781,,,,,,,case rate,,11781,,,,,,,case rate,,11781,,,,,,,case rate,,12017,,,,,,,case rate,,12606,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8314,17127,
31652 - BRONCH EBUS SAMPLNG 1/2 NODE,31652,CPT,,both,,,7999,7999,,242,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1503,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,3074,,,,,,,fee schedule,,242,5048,
31653 - BRONCH EBUS SAMPLNG 3/> NODE,31653,CPT,,both,,,30785,30785,,38651,,,,,,,case rate,,46506,,,,,,,case rate,,37546,,,,,,,case rate,,37546,,,,,,,case rate,,53821,,,,,,,case rate,,53821,,,,,,,case rate,,40172,,,,,,,case rate,,26127,,,,,,,case rate,,  ,,,,,,,case rate,,34107,,,,,,,case rate,,34107,,,,,,,case rate,,34107,,,,,,,case rate,,34789,,,,,,,case rate,,34107,,,,,,,case rate,,34107,,,,,,,case rate,,34107,,,,,,,case rate,,31719,,,,,,,case rate,,34107,,,,,,,case rate,,34107,,,,,,,case rate,,34107,,,,,,,case rate,,34107,,,,,,,case rate,,34789,,,,,,,case rate,,36494,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26127,53821,
31654 - BRONCH EBUS IVNTJ PERPH LES,31654,CPT,,both,,,,,,70,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1503,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,3074,,,,,,,fee schedule,,70,4134,
32408 - CORE NDL BX LNG/MED PERQ,32408,CPT,,both,,,34611,34611,,27990,,,,,,,case rate,,33679,,,,,,,case rate,,27190,,,,,,,case rate,,27190,,,,,,,case rate,,38975,,,,,,,case rate,,38975,,,,,,,case rate,,29091,,,,,,,case rate,,18920,,,,,,,case rate,,  ,,,,,,,case rate,,25075,,,,,,,case rate,,25075,,,,,,,case rate,,25075,,,,,,,case rate,,25576,,,,,,,case rate,,25075,,,,,,,case rate,,25075,,,,,,,case rate,,25075,,,,,,,case rate,,23319,,,,,,,case rate,,25075,,,,,,,case rate,,25075,,,,,,,case rate,,25075,,,,,,,case rate,,25075,,,,,,,case rate,,25576,,,,,,,case rate,,26830,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18920,38975,
32550 - INSERT PLEURAL CATH,32550,CPT,,both,,,8498,8498,,236,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,842,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,674,,,,,,,fee schedule,,674,,,,,,,fee schedule,,674,,,,,,,fee schedule,,674,,,,,,,fee schedule,,674,,,,,,,fee schedule,,674,,,,,,,fee schedule,,741,,,,,,,fee schedule,,674,,,,,,,fee schedule,,674,,,,,,,fee schedule,,674,,,,,,,fee schedule,,694,,,,,,,fee schedule,,1516,,,,,,,fee schedule,,220,5364,
32551 - INSERTION OF CHEST TUBE,32551,CPT,,both,,,433,433,,181,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,782,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1528,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,688,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,644,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,174,2253,
32552 - REMOVE LUNG CATHETER,32552,CPT,,both,,,15141,15141,,24574,,,,,,,case rate,,29568,,,,,,,case rate,,23871,,,,,,,case rate,,23871,,,,,,,case rate,,34218,,,,,,,case rate,,34218,,,,,,,case rate,,25540,,,,,,,case rate,,16611,,,,,,,case rate,,  ,,,,,,,case rate,,22180,,,,,,,case rate,,22180,,,,,,,case rate,,22180,,,,,,,case rate,,22624,,,,,,,case rate,,22180,,,,,,,case rate,,22180,,,,,,,case rate,,22180,,,,,,,case rate,,20628,,,,,,,case rate,,22180,,,,,,,case rate,,22180,,,,,,,case rate,,22180,,,,,,,case rate,,22180,,,,,,,case rate,,22624,,,,,,,case rate,,23733,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16611,34218,
32554 - ASPIRATE PLEURA W/O IMAGING,32554,CPT,,both,,,1407,1407,,93,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,876,,,,,,,fee schedule,,876,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,782,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,516,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,594,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,688,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,644,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,93,1880,
32555 - ASPIRATE PLEURA W/ IMAGING,32555,CPT,,both,,,1610,1610,,116,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,876,,,,,,,fee schedule,,876,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,782,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,516,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,594,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,688,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,644,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,116,1880,
32556 - INSERT CATH PLEURA W/O IMAGE,32556,CPT,,both,,,1925,1925,,128,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,949,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,835,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,782,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,128,4134,
"326 - Stomach, esophageal and duodenal procedures with MCC",326,MS-DRG,,inpatient,,,28321,28321,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8840,,,,,,,fee schedule,,8840,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8840,8840,
32609 - THORACOSCOPY W/BX PLEURA,32609,CPT,,both,,,24354,24354,,46387,,,,,,,case rate,,55815,,,,,,,case rate,,45061,,,,,,,case rate,,45061,,,,,,,case rate,,64593,,,,,,,case rate,,64593,,,,,,,case rate,,48212,,,,,,,case rate,,31356,,,,,,,case rate,,  ,,,,,,,case rate,,40661,,,,,,,case rate,,40661,,,,,,,case rate,,40661,,,,,,,case rate,,41474,,,,,,,case rate,,40661,,,,,,,case rate,,40661,,,,,,,case rate,,40661,,,,,,,case rate,,37815,,,,,,,case rate,,40661,,,,,,,case rate,,40661,,,,,,,case rate,,40661,,,,,,,case rate,,40661,,,,,,,case rate,,41474,,,,,,,case rate,,43507,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31356,64593,
"327 - Stomach, esophageal and duodenal procedures with CC",327,MS-DRG,,inpatient,,,6198,6198,,258,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,258,3912,
"328 - Stomach, esophageal and duodenal procedures without CC/MCC",328,MS-DRG,,inpatient,,,1965,1965,,371,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,208,571,
329 - Major small & large bowel procedures w MCC,329,MS-DRG,,inpatient,,,12506,12506,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,888,7893,
32999 - UNLISTED PX LUNGS & PLEURA,32999,CPT,,both,,,19528,19528,,24586,,,,,,,case rate,,29583,,,,,,,case rate,,23883,,,,,,,case rate,,23883,,,,,,,case rate,,34236,,,,,,,case rate,,34236,,,,,,,case rate,,25553,,,,,,,case rate,,16619,,,,,,,case rate,,  ,,,,,,,case rate,,22191,,,,,,,case rate,,22191,,,,,,,case rate,,22191,,,,,,,case rate,,22635,,,,,,,case rate,,22191,,,,,,,case rate,,22191,,,,,,,case rate,,22191,,,,,,,case rate,,20637,,,,,,,case rate,,22191,,,,,,,case rate,,22191,,,,,,,case rate,,22191,,,,,,,case rate,,22191,,,,,,,case rate,,22635,,,,,,,case rate,,23744,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16619,34236,
330 - Major small & large bowel procedures w CC,330,MS-DRG,,inpatient,,,5181,5181,,845,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,623,3270,
331 - Major small & large bowel procedures w/o CC/MCC,331,MS-DRG,,inpatient,,,778,778,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,482,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,439,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,482,,,,,,,fee schedule,,505,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,439,745,
33206 - INSERT HEART PM ATRIAL,33206,CPT,,both,,,24783,24783,,514,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7982,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9219,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,10607,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,7024,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6577,,,,,,,fee schedule,,14367,,,,,,,fee schedule,,514,15641,
33207 - INSERT HEART PM VENTRICULAR,33207,CPT,,both,,,24783,24783,,549,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,8622,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9219,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,10607,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,7587,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,7105,,,,,,,fee schedule,,15520,,,,,,,fee schedule,,549,15641,
33208 - INSRT HEART PM ATRIAL & VENT,33208,CPT,,both,,,24783,24783,,595,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,8622,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9219,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,10607,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,7587,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,6898,,,,,,,fee schedule,,7105,,,,,,,fee schedule,,15520,,,,,,,fee schedule,,595,15641,
33216 - INSERT 1 ELECTRODE PM-DEFIB,33216,CPT,,both,,,19586,19586,,426,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,2972,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7286,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,8383,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2615,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2378,,,,,,,fee schedule,,2449,,,,,,,fee schedule,,5350,,,,,,,fee schedule,,426,12361,
33218 - REPAIR LEAD PACE-DEFIB ONE,33218,CPT,,both,,,8040,8040,,446,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,3173,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,2991,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3441,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,446,5074,
33225 - L VENTRIC PACING LEAD ADD-ON,33225,CPT,,both,,,,,,523,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,482,1965,
33227 - REMOVE&REPLACE PM GEN SINGL,33227,CPT,,both,,,75201,75201,,54763,,,,,,,case rate,,65892,,,,,,,case rate,,53197,,,,,,,case rate,,53197,,,,,,,case rate,,76256,,,,,,,case rate,,76256,,,,,,,case rate,,56917,,,,,,,case rate,,37018,,,,,,,case rate,,  ,,,,,,,case rate,,47757,,,,,,,case rate,,47757,,,,,,,case rate,,47757,,,,,,,case rate,,48712,,,,,,,case rate,,47757,,,,,,,case rate,,47757,,,,,,,case rate,,47757,,,,,,,case rate,,44414,,,,,,,case rate,,47757,,,,,,,case rate,,47757,,,,,,,case rate,,47757,,,,,,,case rate,,47757,,,,,,,case rate,,48712,,,,,,,case rate,,51100,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37018,76256,
33228 - REMV&REPLC PM GEN DUAL LEAD,33228,CPT,,both,,,24783,24783,,408,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,15641,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7982,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9219,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,9913,,,,,,,fee schedule,,10111,,,,,,,fee schedule,,10607,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,7024,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6577,,,,,,,fee schedule,,14367,,,,,,,fee schedule,,399,15641,
33229 - REMV&REPLC PM GEN MULT LEADS,33229,CPT,,both,,,44802,44802,,430,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,28275,,,,,,,fee schedule,,28275,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7982,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,18279,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,16666,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,17921,,,,,,,fee schedule,,18279,,,,,,,fee schedule,,19175,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,7024,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6577,,,,,,,fee schedule,,14367,,,,,,,fee schedule,,416,28275,
33233 - REMOVAL OF PM GENERATOR,33233,CPT,,both,,,19586,19586,,270,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2869,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7286,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,8383,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2525,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2364,,,,,,,fee schedule,,5164,,,,,,,fee schedule,,270,12361,
33234 - REMOVAL OF PACEMAKER SYSTEM,33234,CPT,,both,,,8040,8040,,553,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2869,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,2991,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3441,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,553,5074,
33241 - REMOVE PULSE GENERATOR,33241,CPT,,both,,,8040,8040,,254,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2869,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,2991,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3441,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2525,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2364,,,,,,,fee schedule,,5164,,,,,,,fee schedule,,254,5164,
33244 - REMOVE ELCTRD TRANSVENOUSLY,33244,CPT,,both,,,8040,8040,,969,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2869,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,2991,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3441,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2525,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2295,,,,,,,fee schedule,,2364,,,,,,,fee schedule,,5164,,,,,,,fee schedule,,969,5164,
33249 - INSJ/RPLCMT DEFIB W/LEAD(S),33249,CPT,,both,,,76964,76964,,1034,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,48573,,,,,,,fee schedule,,48573,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,1432,,,,,,,fee schedule,,20284,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,31401,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,28631,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,31401,,,,,,,fee schedule,,32941,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,17850,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16227,,,,,,,fee schedule,,16714,,,,,,,fee schedule,,36511,,,,,,,fee schedule,,1018,48573,
33262 - RMVL& REPLC PULSE GEN 1 LEAD,33262,CPT,,both,,,54750,54750,,429,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,34554,,,,,,,fee schedule,,34554,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18925,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,22338,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,20367,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,22338,,,,,,,fee schedule,,23433,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,16654,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15594,,,,,,,fee schedule,,34064,,,,,,,fee schedule,,416,34554,
33263 - RMVL & RPLCMT DFB GEN 2 LEAD,33263,CPT,,both,,,54750,54750,,446,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,34554,,,,,,,fee schedule,,34554,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18925,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,22338,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,20367,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,21900,,,,,,,fee schedule,,22338,,,,,,,fee schedule,,23433,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,16654,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15594,,,,,,,fee schedule,,34064,,,,,,,fee schedule,,432,34554,
33264 - RMVL & RPLCMT DFB GEN MLT LD,33264,CPT,,both,,,76964,76964,,465,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,48573,,,,,,,fee schedule,,48573,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18925,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,31401,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,28631,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,31401,,,,,,,fee schedule,,32941,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,16654,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15594,,,,,,,fee schedule,,34064,,,,,,,fee schedule,,449,48573,
33270 - INS/REP SUBQ DEFIBRILLATOR,33270,CPT,,both,,,76964,76964,,660,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,48573,,,,,,,fee schedule,,48573,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18925,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,31401,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,28631,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,30786,,,,,,,fee schedule,,31401,,,,,,,fee schedule,,32941,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,16654,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15140,,,,,,,fee schedule,,15594,,,,,,,fee schedule,,34064,,,,,,,fee schedule,,660,48573,
33272 - RMVL OF SUBQ DEFIBRILLATOR,33272,CPT,,both,,,39147,39147,,38838,,,,,,,case rate,,46731,,,,,,,case rate,,37728,,,,,,,case rate,,37728,,,,,,,case rate,,54081,,,,,,,case rate,,54081,,,,,,,case rate,,40366,,,,,,,case rate,,26253,,,,,,,case rate,,  ,,,,,,,case rate,,34265,,,,,,,case rate,,34265,,,,,,,case rate,,34265,,,,,,,case rate,,34951,,,,,,,case rate,,34265,,,,,,,case rate,,34265,,,,,,,case rate,,34265,,,,,,,case rate,,31867,,,,,,,case rate,,34265,,,,,,,case rate,,34265,,,,,,,case rate,,34265,,,,,,,case rate,,34265,,,,,,,case rate,,34951,,,,,,,case rate,,36664,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26253,54081,
33273 - REPOS PREV IMPLTBL SUBQ DFB,33273,CPT,,both,,,34376,34376,,39050,,,,,,,case rate,,46986,,,,,,,case rate,,37934,,,,,,,case rate,,37934,,,,,,,case rate,,54376,,,,,,,case rate,,54376,,,,,,,case rate,,40586,,,,,,,case rate,,26396,,,,,,,case rate,,  ,,,,,,,case rate,,34445,,,,,,,case rate,,34445,,,,,,,case rate,,34445,,,,,,,case rate,,35134,,,,,,,case rate,,34445,,,,,,,case rate,,34445,,,,,,,case rate,,34445,,,,,,,case rate,,32034,,,,,,,case rate,,34445,,,,,,,case rate,,34445,,,,,,,case rate,,34445,,,,,,,case rate,,34445,,,,,,,case rate,,35134,,,,,,,case rate,,36856,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26396,54376,
33274 - TCAT INSJ/RPL PERM LDLS PM,33274,CPT,,both,,,41216,41216,,543,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,26012,,,,,,,fee schedule,,26012,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7982,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16816,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,15332,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16816,,,,,,,fee schedule,,17640,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,7024,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6385,,,,,,,fee schedule,,6577,,,,,,,fee schedule,,14367,,,,,,,fee schedule,,543,26012,
33285 - INSJ SUBQ CAR RHYTHM MNTR,33285,CPT,,both,,,19586,19586,,99,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,12361,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,3636,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7286,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7834,,,,,,,fee schedule,,7991,,,,,,,fee schedule,,8383,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,3199,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2908,,,,,,,fee schedule,,2996,,,,,,,fee schedule,,6544,,,,,,,fee schedule,,99,12361,
33286 - RMVL SUBQ CAR RHYTHM MNTR,33286,CPT,,both,,,1557,1557,,97,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,672,,,,,,,fee schedule,,1467,,,,,,,fee schedule,,97,1880,
334 - Rectal resection w/o CC/MCC,334,MS-DRG,,inpatient,,,466,466,,203,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,93,589,
335 - Peritoneal adhesiolysis w MCC,335,MS-DRG,,inpatient,,,8498,8498,,1139,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,909,5364,
336 - Peritoneal adhesiolysis w CC,336,MS-DRG,,inpatient,,,4641,4641,,158,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,158,2271,
337 - Peritoneal adhesiolysis w/o CC/MCC,337,MS-DRG,,inpatient,,,,,,316,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,316,334,
345 - Minor small & large bowel procedures w CC,345,MS-DRG,,inpatient,,,243,243,,351,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,392,
346 - Minor small & large bowel procedures w/o CC/MCC,346,MS-DRG,,inpatient,,,2536,2536,,168,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,95,253,
349 - Anal & stomal procedures w/o CC/MCC,349,MS-DRG,,inpatient,,,307,307,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,60,102,
350 - Inguinal & femoral hernia procedures w MCC,350,MS-DRG,,inpatient,,,6165,6165,,262,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,154,3891,
351 - Inguinal & femoral hernia procedures w CC,351,MS-DRG,,inpatient,,,497,497,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,313,
35190 - REPAIR BLOOD VESSEL LESION,35190,CPT,,both,,,12332,12332,,865,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3227,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2840,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,5808,,,,,,,fee schedule,,834,7783,
352 - Inguinal & femoral hernia procedures w/o CC/MCC,352,MS-DRG,,inpatient,,,326,326,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,104,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,94,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,104,,,,,,,fee schedule,,109,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,94,160,
353 - Hernia procedures except inguinal & femoral w MCC,353,MS-DRG,,inpatient,,,2793,2793,,387,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,387,4511,
354 - Hernia procedures except inguinal & femoral w CC,354,MS-DRG,,inpatient,,,52,52,,16,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,16,841,
355 - Hernia procedures except inguinal & femoral w/o CC/MCC,355,MS-DRG,,inpatient,,,227,227,,131,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,115,,,,,,,fee schedule,,115,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,68,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,78,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,68,273,
357 - Other digestive system O.R. procedures w CC,357,MS-DRG,,inpatient,,,4141,4141,,587,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,587,2613,
35903 - EXCISION GRAFT EXTREMITY,35903,CPT,,both,,,7148,7148,,643,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3227,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2840,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,5808,,,,,,,fee schedule,,643,5808,
36005 - INJECTION EXT VENOGRAPHY,36005,CPT,,both,,,2328,2328,,53,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,398,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,351,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,328,,,,,,,fee schedule,,717,,,,,,,fee schedule,,53,4134,
36010 - PLACE CATHETER IN VEIN,36010,CPT,,both,,,12285,12285,,14995,,,,,,,case rate,,18042,,,,,,,case rate,,14566,,,,,,,case rate,,14566,,,,,,,case rate,,20880,,,,,,,case rate,,20880,,,,,,,case rate,,15585,,,,,,,case rate,,10136,,,,,,,case rate,,  ,,,,,,,case rate,,14065,,,,,,,case rate,,14065,,,,,,,case rate,,14065,,,,,,,case rate,,14346,,,,,,,case rate,,14065,,,,,,,case rate,,14065,,,,,,,case rate,,14065,,,,,,,case rate,,13080,,,,,,,case rate,,14065,,,,,,,case rate,,14065,,,,,,,case rate,,14065,,,,,,,case rate,,14065,,,,,,,case rate,,14346,,,,,,,case rate,,15049,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10136,20880,
36011 - PLACE CATHETER IN VEIN,36011,CPT,,both,,,,,,172,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,398,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,351,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,328,,,,,,,fee schedule,,717,,,,,,,fee schedule,,172,4134,
36012 - PLACE CATHETER IN VEIN,36012,CPT,,both,,,1811,1811,,190,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,398,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,351,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,328,,,,,,,fee schedule,,717,,,,,,,fee schedule,,190,4134,
36140 - INTRO NDL ICATH UPR/LXTR ART,36140,CPT,,both,,,17855,17855,,12950,,,,,,,case rate,,15581,,,,,,,case rate,,12580,,,,,,,case rate,,12580,,,,,,,case rate,,18032,,,,,,,case rate,,18032,,,,,,,case rate,,13459,,,,,,,case rate,,8753,,,,,,,case rate,,  ,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12579,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,11469,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12579,,,,,,,case rate,,13195,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8753,18032,
36217 - PLACE CATHETER IN ARTERY,36217,CPT,,both,,,20410,20410,,20168,,,,,,,case rate,,24266,,,,,,,case rate,,19591,,,,,,,case rate,,19591,,,,,,,case rate,,28083,,,,,,,case rate,,28083,,,,,,,case rate,,20961,,,,,,,case rate,,13632,,,,,,,case rate,,  ,,,,,,,case rate,,18447,,,,,,,case rate,,18447,,,,,,,case rate,,18447,,,,,,,case rate,,18816,,,,,,,case rate,,18447,,,,,,,case rate,,18447,,,,,,,case rate,,18447,,,,,,,case rate,,17156,,,,,,,case rate,,18447,,,,,,,case rate,,18447,,,,,,,case rate,,18447,,,,,,,case rate,,18447,,,,,,,case rate,,18816,,,,,,,case rate,,19738,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13632,28083,
36245 - INS CATH ABD/L-EXT ART 1ST,36245,CPT,,both,,,2584,2584,,279,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,398,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,351,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,328,,,,,,,fee schedule,,717,,,,,,,fee schedule,,269,2910,
36247 - INS CATH ABD/L-EXT ART 3RD,36247,CPT,,both,,,,,,351,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,398,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,351,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,328,,,,,,,fee schedule,,717,,,,,,,fee schedule,,319,4134,
36415 - ROUTINE VENIPUNCTURE,36415,CPT,,both,,,5,5,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,5,
36416 - CAPILLARY BLOOD DRAW,36416,CPT,,both,,,18,18,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
36430 - BLOOD TRANSFUSION SERVICE,36430,CPT,,both,,,954,954,,38,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,617,,,,,,,fee schedule,,617,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,399,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,364,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,399,,,,,,,fee schedule,,419,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,621,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,582,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,38,1880,
36511 - APHERESIS WBC,36511,CPT,,both,,,2893,2893,,98,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2059,,,,,,,fee schedule,,2059,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2586,,,,,,,fee schedule,,176,,,,,,,fee schedule,,159,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1331,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1214,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1331,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2276,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2069,,,,,,,fee schedule,,2131,,,,,,,fee schedule,,4655,,,,,,,fee schedule,,98,4655,
36556 - INSERT NON-TUNNEL CV CATH,36556,CPT,,both,,,2983,2983,,129,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,345,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,303,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,284,,,,,,,fee schedule,,620,,,,,,,fee schedule,,129,4511,
36558 - INSERT TUNNELED CV CATH,36558,CPT,,both,,,5456,5456,,300,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1995,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1756,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,3591,,,,,,,fee schedule,,300,4511,
36561 - INSERT TUNNELED CV CATH,36561,CPT,,both,,,4316,4316,,389,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1995,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1756,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,3591,,,,,,,fee schedule,,389,4511,
36569 - INSJ PICC 5 YR+ W/O IMAGING,36569,CPT,,both,,,2422,2422,,97,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,456,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1528,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,401,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,375,,,,,,,fee schedule,,820,,,,,,,fee schedule,,97,4134,
36571 - INSERT PICVAD CATH,36571,CPT,,both,,,5456,5456,,357,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,456,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,401,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,375,,,,,,,fee schedule,,820,,,,,,,fee schedule,,357,4511,
36578 - REPLACE TUNNELED CV CATH,36578,CPT,,both,,,7148,7148,,236,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,976,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,859,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,805,,,,,,,fee schedule,,1758,,,,,,,fee schedule,,236,4511,
36580 - REPLACE CVAD CATH,36580,CPT,,both,,,3668,3668,,72,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,456,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1528,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,401,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,375,,,,,,,fee schedule,,820,,,,,,,fee schedule,,72,4134,
36581 - REPLACE TUNNELED CV CATH,36581,CPT,,both,,,7148,7148,,212,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1995,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1756,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,3591,,,,,,,fee schedule,,212,4511,
36582 - REPLACE TUNNELED CV CATH,36582,CPT,,both,,,7148,7148,,337,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,650,,,,,,,fee schedule,,650,,,,,,,fee schedule,,1995,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1756,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,3591,,,,,,,fee schedule,,337,4511,
36584 - COMPL RPLCMT PICC RS&I,36584,CPT,,both,,,2315,2315,,71,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,456,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1528,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,401,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,365,,,,,,,fee schedule,,375,,,,,,,fee schedule,,820,,,,,,,fee schedule,,71,4134,
36589 - REMOVAL TUNNELED CV CATH,36589,CPT,,both,,,3317,3317,,150,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,876,,,,,,,fee schedule,,876,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1136,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,516,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,594,,,,,,,fee schedule,,909,,,,,,,fee schedule,,909,,,,,,,fee schedule,,909,,,,,,,fee schedule,,909,,,,,,,fee schedule,,909,,,,,,,fee schedule,,909,,,,,,,fee schedule,,1000,,,,,,,fee schedule,,909,,,,,,,fee schedule,,909,,,,,,,fee schedule,,909,,,,,,,fee schedule,,936,,,,,,,fee schedule,,2045,,,,,,,fee schedule,,150,2045,
36590 - REMOVAL TUNNELED CV CATH,36590,CPT,,both,,,2930,2930,,226,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1240,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1528,,,,,,,fee schedule,,992,,,,,,,fee schedule,,992,,,,,,,fee schedule,,992,,,,,,,fee schedule,,992,,,,,,,fee schedule,,992,,,,,,,fee schedule,,992,,,,,,,fee schedule,,1091,,,,,,,fee schedule,,992,,,,,,,fee schedule,,992,,,,,,,fee schedule,,992,,,,,,,fee schedule,,1022,,,,,,,fee schedule,,2232,,,,,,,fee schedule,,226,4134,
36598 - INJ W/FLUOR EVAL CV DEVICE,36598,CPT,,both,,,898,898,,39,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,763,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,184,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,212,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,672,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,629,,,,,,,fee schedule,,1374,,,,,,,fee schedule,,39,1880,
36600 - WITHDRAWAL OF ARTERIAL BLOOD,36600,CPT,,both,,,251,251,,17,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,74,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,65,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,61,,,,,,,fee schedule,,133,,,,,,,fee schedule,,17,1880,
368 - Major esophageal disorders w MCC,368,MS-DRG,,inpatient,,,1096,1096,,85,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,692,,,,,,,fee schedule,,692,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,408,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,469,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,85,692,
36818 - AV FUSE UPPR ARM CEPHALIC,36818,CPT,,both,,,12332,12332,,789,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3227,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2840,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,5808,,,,,,,fee schedule,,789,7783,
36819 - AV FUSE UPPR ARM BASILIC,36819,CPT,,both,,,12332,12332,,834,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3227,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2840,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,5808,,,,,,,fee schedule,,834,7783,
36820 - AV FUSION/FOREARM VEIN,36820,CPT,,both,,,12332,12332,,832,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3227,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,832,7783,
36821 - AV FUSION DIRECT ANY SITE,36821,CPT,,both,,,7148,7148,,756,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3555,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,3128,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2929,,,,,,,fee schedule,,6398,,,,,,,fee schedule,,625,6398,
36825 - ARTERY-VEIN AUTOGRAFT,36825,CPT,,both,,,12332,12332,,911,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3555,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,3128,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2929,,,,,,,fee schedule,,6398,,,,,,,fee schedule,,691,7783,
36830 - ARTERY-VEIN NONAUTOGRAFT,36830,CPT,,both,,,12332,12332,,761,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3555,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,3128,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2929,,,,,,,fee schedule,,6398,,,,,,,fee schedule,,666,7783,
36831 - OPEN THROMBECT AV FISTULA,36831,CPT,,both,,,42214,42214,,45886,,,,,,,case rate,,55212,,,,,,,case rate,,44575,,,,,,,case rate,,44575,,,,,,,case rate,,63895,,,,,,,case rate,,63895,,,,,,,case rate,,47692,,,,,,,case rate,,31017,,,,,,,case rate,,  ,,,,,,,case rate,,40237,,,,,,,case rate,,40237,,,,,,,case rate,,40237,,,,,,,case rate,,41041,,,,,,,case rate,,40237,,,,,,,case rate,,40237,,,,,,,case rate,,40237,,,,,,,case rate,,37420,,,,,,,case rate,,40237,,,,,,,case rate,,40237,,,,,,,case rate,,40237,,,,,,,case rate,,40237,,,,,,,case rate,,41041,,,,,,,case rate,,43053,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31017,63895,
36832 - AV FISTULA REVISION OPEN,36832,CPT,,both,,,12332,12332,,863,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3555,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,3128,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2844,,,,,,,fee schedule,,2929,,,,,,,fee schedule,,6398,,,,,,,fee schedule,,721,7783,
36833 - AV FISTULA REVISION,36833,CPT,,both,,,12332,12332,,925,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3227,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2840,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,5808,,,,,,,fee schedule,,807,7783,
369 - Major esophageal disorders w CC,369,MS-DRG,,inpatient,,,627,627,,66,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,66,109,
36901 - INTRO CATH DIALYSIS CIRCUIT,36901,CPT,,both,,,3570,3570,,158,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,2253,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1186,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1328,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1428,,,,,,,fee schedule,,1457,,,,,,,fee schedule,,1528,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,1044,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,977,,,,,,,fee schedule,,2135,,,,,,,fee schedule,,158,2253,
36902 - INTRO CATH DIALYSIS CIRCUIT,36902,CPT,,both,,,12514,12514,,235,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,1096,,,,,,,fee schedule,,1096,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,4655,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5356,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,235,7898,
36903 - INTRO CATH DIALYSIS CIRCUIT,36903,CPT,,both,,,25470,25470,,322,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,322,16075,
36904 - THRMBC/NFS DIALYSIS CIRCUIT,36904,CPT,,both,,,12812,12812,,1034,,,,,,,fee schedule,,6850,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3790,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3549,,,,,,,fee schedule,,7753,,,,,,,fee schedule,,900,8086,
36905 - THRMBC/NFS DIALYSIS CIRCUIT,36905,CPT,,both,,,31308,31308,,1005,,,,,,,fee schedule,,6850,,,,,,,fee schedule,,19759,,,,,,,fee schedule,,19759,,,,,,,fee schedule,,14333,,,,,,,fee schedule,,14333,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12773,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,11646,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12773,,,,,,,fee schedule,,13400,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1005,19759,
36906 - THRMBC/NFS DIALYSIS CIRCUIT,36906,CPT,,both,,,391,391,,  ,,,,,,,fee schedule,,8468,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8468,8468,
36907 - BALO ANGIOP CTR DIALYSIS SEG,36907,CPT,,both,,,,,,135,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,135,6064,
36908 - STENT PLMT CTR DIALYSIS SEG,36908,CPT,,both,,,,,,203,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,203,6064,
370 - Major esophageal disorders w/o CC/MCC,370,MS-DRG,,inpatient,,,25,25,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,12,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,18,
371 - Major gastrointestinal disorders & peritoneal infections w MCC,371,MS-DRG,,inpatient,,,1125,1125,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,853,,,,,,,fee schedule,,853,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,540,,,,,,,fee schedule,,540,,,,,,,fee schedule,,540,,,,,,,fee schedule,,551,,,,,,,fee schedule,,540,,,,,,,fee schedule,,540,,,,,,,fee schedule,,540,,,,,,,fee schedule,,503,,,,,,,fee schedule,,540,,,,,,,fee schedule,,540,,,,,,,fee schedule,,540,,,,,,,fee schedule,,540,,,,,,,fee schedule,,551,,,,,,,fee schedule,,578,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,503,853,
37191 - INS ENDOVAS VENA CAVA FILTR,37191,CPT,,both,,,13025,13025,,261,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2798,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2462,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2238,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,5036,,,,,,,fee schedule,,261,7783,
37193 - REM ENDOVAS VENA CAVA FILTER,37193,CPT,,both,,,7148,7148,,399,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3098,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,399,4511,
372 - Major gastrointestinal disorders & peritoneal infections w CC,372,MS-DRG,,inpatient,,,188,188,,24,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,132,
37212 - THROMBOLYTIC VENOUS THERAPY,37212,CPT,,both,,,33887,33887,,34402,,,,,,,case rate,,41394,,,,,,,case rate,,33419,,,,,,,case rate,,33419,,,,,,,case rate,,47904,,,,,,,case rate,,47904,,,,,,,case rate,,35756,,,,,,,case rate,,23255,,,,,,,case rate,,  ,,,,,,,case rate,,30507,,,,,,,case rate,,30507,,,,,,,case rate,,30507,,,,,,,case rate,,31117,,,,,,,case rate,,30507,,,,,,,case rate,,30507,,,,,,,case rate,,30507,,,,,,,case rate,,28372,,,,,,,case rate,,30507,,,,,,,case rate,,30507,,,,,,,case rate,,30507,,,,,,,case rate,,30507,,,,,,,case rate,,31117,,,,,,,case rate,,32643,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23255,47904,
37224 - FEM/POPL REVAS W/TLA,37224,CPT,,both,,,12514,12514,,514,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,4655,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5356,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,514,7898,
37228 - TIB/PER REVASC W/TLA,37228,CPT,,both,,,25470,25470,,629,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,629,16075,
37231 - TIB/PER REVASC STENT & ATHER,37231,CPT,,both,,,48383,48383,,62168,,,,,,,case rate,,74802,,,,,,,case rate,,60391,,,,,,,case rate,,60391,,,,,,,case rate,,86567,,,,,,,case rate,,86567,,,,,,,case rate,,64613,,,,,,,case rate,,42023,,,,,,,case rate,,  ,,,,,,,case rate,,54030,,,,,,,case rate,,54030,,,,,,,case rate,,54030,,,,,,,case rate,,55111,,,,,,,case rate,,54030,,,,,,,case rate,,54030,,,,,,,case rate,,54030,,,,,,,case rate,,50248,,,,,,,case rate,,54030,,,,,,,case rate,,54030,,,,,,,case rate,,54030,,,,,,,case rate,,54030,,,,,,,case rate,,55111,,,,,,,case rate,,57813,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42023,86567,
37238 - OPEN/PERQ PLACE STENT SAME,37238,CPT,,both,,,314776,314776,,60093,,,,,,,case rate,,72305,,,,,,,case rate,,58375,,,,,,,case rate,,58375,,,,,,,case rate,,83677,,,,,,,case rate,,83677,,,,,,,case rate,,62457,,,,,,,case rate,,40620,,,,,,,case rate,,  ,,,,,,,case rate,,52272,,,,,,,case rate,,52272,,,,,,,case rate,,52272,,,,,,,case rate,,53318,,,,,,,case rate,,52272,,,,,,,case rate,,52272,,,,,,,case rate,,52272,,,,,,,case rate,,48613,,,,,,,case rate,,52272,,,,,,,case rate,,52272,,,,,,,case rate,,52272,,,,,,,case rate,,52272,,,,,,,case rate,,53318,,,,,,,case rate,,55932,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40620,83677,
37242 - VASC EMBOLIZE/OCCLUDE ARTERY,37242,CPT,,both,,,49385,49385,,60484,,,,,,,case rate,,72776,,,,,,,case rate,,58755,,,,,,,case rate,,58755,,,,,,,case rate,,84222,,,,,,,case rate,,84222,,,,,,,case rate,,62863,,,,,,,case rate,,40885,,,,,,,case rate,,  ,,,,,,,case rate,,52604,,,,,,,case rate,,52604,,,,,,,case rate,,52604,,,,,,,case rate,,53656,,,,,,,case rate,,52604,,,,,,,case rate,,52604,,,,,,,case rate,,52604,,,,,,,case rate,,48922,,,,,,,case rate,,52604,,,,,,,case rate,,52604,,,,,,,case rate,,52604,,,,,,,case rate,,52604,,,,,,,case rate,,53656,,,,,,,case rate,,56286,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40885,84222,
37243 - VASC EMBOLIZE/OCCLUDE ORGAN,37243,CPT,,both,,,22458,22458,,626,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,3706,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,3261,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,3054,,,,,,,fee schedule,,6671,,,,,,,fee schedule,,626,16075,
37244 - VASC EMBOLIZE/OCCLUDE BLEED,37244,CPT,,both,,,49406,49406,,60919,,,,,,,case rate,,73299,,,,,,,case rate,,59177,,,,,,,case rate,,59177,,,,,,,case rate,,84828,,,,,,,case rate,,84828,,,,,,,case rate,,63315,,,,,,,case rate,,41179,,,,,,,case rate,,  ,,,,,,,case rate,,52972,,,,,,,case rate,,52972,,,,,,,case rate,,52972,,,,,,,case rate,,54032,,,,,,,case rate,,52972,,,,,,,case rate,,52972,,,,,,,case rate,,52972,,,,,,,case rate,,49264,,,,,,,case rate,,52972,,,,,,,case rate,,52972,,,,,,,case rate,,52972,,,,,,,case rate,,52972,,,,,,,case rate,,54032,,,,,,,case rate,,56681,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41179,84828,
37248 - TRLUML BALO ANGIOP 1ST VEIN,37248,CPT,,both,,,40664,40664,,49661,,,,,,,case rate,,59753,,,,,,,case rate,,48241,,,,,,,case rate,,48241,,,,,,,case rate,,69151,,,,,,,case rate,,69151,,,,,,,case rate,,51615,,,,,,,case rate,,33569,,,,,,,case rate,,  ,,,,,,,case rate,,43435,,,,,,,case rate,,43435,,,,,,,case rate,,43435,,,,,,,case rate,,44303,,,,,,,case rate,,43435,,,,,,,case rate,,43435,,,,,,,case rate,,43435,,,,,,,case rate,,40394,,,,,,,case rate,,43435,,,,,,,case rate,,43435,,,,,,,case rate,,43435,,,,,,,case rate,,43435,,,,,,,case rate,,44303,,,,,,,case rate,,46475,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33569,69151,
373 - Major gastrointestin disorders & peritoneal infections w/o CC/MC,373,MS-DRG,,inpatient,,,87,87,,7,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7,13,
374 - Digestive malignancy with MCC,374,MS-DRG,,inpatient,,,3445,3445,,146,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,146,2271,
375 - Digestive malignancy with CC,375,MS-DRG,,inpatient,,,219,219,,82,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,108,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,124,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,184,
376 - Digestive malignancy w/o CC/MCC,376,MS-DRG,,inpatient,,,249,249,,62,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,55,62,
37607 - LIGATION OF A-V FISTULA,37607,CPT,,both,,,7148,7148,,426,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3227,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2840,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2581,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,5808,,,,,,,fee schedule,,426,5808,
377 - Gastrointestinal hemorrhage with MCC,377,MS-DRG,,inpatient,,,1557,1557,,108,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,108,983,
378 - Gastrointestinal hemorrhage with CC,378,MS-DRG,,inpatient,,,366,366,,56,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,108,
379 - Gastrointestinal hemorrhage without CC/MCC,379,MS-DRG,,inpatient,,,57,57,,6,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,6,
380 - Complicated peptic ulcer w MCC,380,MS-DRG,,inpatient,,,2598,2598,,282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,282,1640,
381 - Complicated peptic ulcer w CC,381,MS-DRG,,inpatient,,,627,627,,73,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,134,
38129 - UNLISTED LAPS PX SPLEEN,38129,CPT,,both,,,37442,37442,,49540,,,,,,,case rate,,59608,,,,,,,case rate,,48124,,,,,,,case rate,,48124,,,,,,,case rate,,68983,,,,,,,case rate,,68983,,,,,,,case rate,,51489,,,,,,,case rate,,33487,,,,,,,case rate,,  ,,,,,,,case rate,,43332,,,,,,,case rate,,43332,,,,,,,case rate,,43332,,,,,,,case rate,,44199,,,,,,,case rate,,43332,,,,,,,case rate,,43332,,,,,,,case rate,,43332,,,,,,,case rate,,40299,,,,,,,case rate,,43332,,,,,,,case rate,,43332,,,,,,,case rate,,43332,,,,,,,case rate,,43332,,,,,,,case rate,,44199,,,,,,,case rate,,46365,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33487,68983,
383 - Uncomplicated peptic ulcer w MCC,383,MS-DRG,,inpatient,,,411,411,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,178,,,,,,,fee schedule,,178,,,,,,,fee schedule,,178,,,,,,,fee schedule,,182,,,,,,,fee schedule,,178,,,,,,,fee schedule,,178,,,,,,,fee schedule,,178,,,,,,,fee schedule,,166,,,,,,,fee schedule,,178,,,,,,,fee schedule,,178,,,,,,,fee schedule,,178,,,,,,,fee schedule,,178,,,,,,,fee schedule,,182,,,,,,,fee schedule,,191,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,166,281,
384 - Uncomplicated peptic ulcer w/o MCC,384,MS-DRG,,inpatient,,,553,553,,7,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,28,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,26,,,,,,,fee schedule,,57,,,,,,,fee schedule,,7,57,
385 - Inflammatory bowel disease w MCC,385,MS-DRG,,inpatient,,,,,,427,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,427,
38500 - BIOPSY/REMOVAL LYMPH NODES,38500,CPT,,both,,,8249,8249,,267,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2062,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1814,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1699,,,,,,,fee schedule,,3711,,,,,,,fee schedule,,267,5206,
38505 - NEEDLE BIOPSY LYMPH NODES,38505,CPT,,both,,,4181,4181,,72,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,72,4134,
38510 - BIOPSY/REMOVAL LYMPH NODES,38510,CPT,,both,,,8249,8249,,438,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2062,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1814,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1649,,,,,,,fee schedule,,1699,,,,,,,fee schedule,,3711,,,,,,,fee schedule,,438,5206,
38525 - BIOPSY/REMOVAL LYMPH NODES,38525,CPT,,both,,,8249,8249,,459,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,5206,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1826,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3069,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,3365,,,,,,,fee schedule,,3530,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1607,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1461,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,3287,,,,,,,fee schedule,,459,5206,
386 - Inflammatory bowel disease w CC,386,MS-DRG,,inpatient,,,627,627,,67,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,67,99,
387 - Inflammatory bowel disease w/o CC/MCC,387,MS-DRG,,inpatient,,,59,59,,10,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,10,
38792 - RA TRACER ID OF SENTINL NODE,38792,CPT,,both,,,933,933,,41,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,30,1880,
388 - Gastrointestinal obstruction w MCC,388,MS-DRG,,inpatient,,,191,191,,267,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,313,
389 - Gastrointestinal obstruction w CC,389,MS-DRG,,inpatient,,,50,50,,33,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,33,33,
390 - Gastrointestinal obstruction w/o CC/MCC,390,MS-DRG,,inpatient,,,258,258,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,1,
"391 - Esophagitis, gastroent & misc digest disorders w MCC",391,MS-DRG,,inpatient,,,513,513,,26,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,230,,,,,,,fee schedule,,230,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,26,230,
"392 - Esophagitis, gastroent & misc digest disorders w/o MCC",392,MS-DRG,,inpatient,,,59,59,,19,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19,29,
393 - Other digestive system diagnoses w MCC,393,MS-DRG,,inpatient,,,927,927,,237,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,237,589,
394 - Other digestive system diagnoses w CC,394,MS-DRG,,inpatient,,,142,142,,13,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13,87,
395 - Other digestive system diagnoses w/o CC/MCC,395,MS-DRG,,inpatient,,,13,13,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,4,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,8,
"405 - Pancreas, liver & shunt procedures w MCC",405,MS-DRG,,inpatient,,,14260,14260,,1026,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,9000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5305,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5704,,,,,,,fee schedule,,5818,,,,,,,fee schedule,,6103,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1026,9000,
"406 - Pancreas, liver & shunt procedures w CC",406,MS-DRG,,inpatient,,,7142,7142,,469,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,469,4508,
40812 - EXCISE/REPAIR MOUTH LESION,40812,CPT,,both,,,32084,32084,,27304,,,,,,,case rate,,32853,,,,,,,case rate,,26523,,,,,,,case rate,,26523,,,,,,,case rate,,38020,,,,,,,case rate,,38020,,,,,,,case rate,,28378,,,,,,,case rate,,18456,,,,,,,case rate,,  ,,,,,,,case rate,,24493,,,,,,,case rate,,24493,,,,,,,case rate,,24493,,,,,,,case rate,,24983,,,,,,,case rate,,24493,,,,,,,case rate,,24493,,,,,,,case rate,,24493,,,,,,,case rate,,22779,,,,,,,case rate,,24493,,,,,,,case rate,,24493,,,,,,,case rate,,24493,,,,,,,case rate,,24493,,,,,,,case rate,,24983,,,,,,,case rate,,26208,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18456,38020,
40819 - EXCISE LIP OR CHEEK FOLD,40819,CPT,,both,,,22303,22303,,27409,,,,,,,case rate,,32979,,,,,,,case rate,,26625,,,,,,,case rate,,26625,,,,,,,case rate,,38166,,,,,,,case rate,,38166,,,,,,,case rate,,28487,,,,,,,case rate,,18527,,,,,,,case rate,,  ,,,,,,,case rate,,24582,,,,,,,case rate,,24582,,,,,,,case rate,,24582,,,,,,,case rate,,25074,,,,,,,case rate,,24582,,,,,,,case rate,,24582,,,,,,,case rate,,24582,,,,,,,case rate,,22861,,,,,,,case rate,,24582,,,,,,,case rate,,24582,,,,,,,case rate,,24582,,,,,,,case rate,,24582,,,,,,,case rate,,25074,,,,,,,case rate,,26303,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18527,38166,
410 - Biliary tract proc excp only cholecyst w or w/o C.D.E. w/o CC/MC,410,MS-DRG,,inpatient,,,584,584,,139,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,45,424,
41010 - INCISION OF TONGUE FOLD,41010,CPT,,both,,,3331,3331,,127,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,127,2855,
411 - Cholecystectomy w C.D.E. w MCC,411,MS-DRG,,inpatient,,,7142,7142,,442,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,442,4508,
41115 - EXCISION OF TONGUE FOLD,41115,CPT,,both,,,23405,23405,,27329,,,,,,,case rate,,32883,,,,,,,case rate,,26548,,,,,,,case rate,,26548,,,,,,,case rate,,38055,,,,,,,case rate,,38055,,,,,,,case rate,,28404,,,,,,,case rate,,18473,,,,,,,case rate,,  ,,,,,,,case rate,,24514,,,,,,,case rate,,24514,,,,,,,case rate,,24514,,,,,,,case rate,,25005,,,,,,,case rate,,24514,,,,,,,case rate,,24514,,,,,,,case rate,,24514,,,,,,,case rate,,22798,,,,,,,case rate,,24514,,,,,,,case rate,,24514,,,,,,,case rate,,24514,,,,,,,case rate,,24514,,,,,,,case rate,,25005,,,,,,,case rate,,26230,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18473,38055,
41250 - REPAIR TONGUE LACERATION,41250,CPT,,both,,,355,355,,179,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,572,,,,,,,fee schedule,,572,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1707,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,388,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1503,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1366,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,3073,,,,,,,fee schedule,,161,3073,
414 - Cholecystectomy except by laparoscope w/o C.D.E. w MCC,414,MS-DRG,,inpatient,,,8498,8498,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,681,5364,
415 - Cholecystectomy except by laparoscope w/o C.D.E. w CC,415,MS-DRG,,inpatient,,,484,484,,9,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,976,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,859,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,781,,,,,,,fee schedule,,805,,,,,,,fee schedule,,1758,,,,,,,fee schedule,,9,1758,
41520 - RECONSTRUCTION TONGUE FOLD,41520,CPT,,both,,,6826,6826,,307,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,256,4308,
416 - Cholecystectomy except by laparoscope w/o C.D.E. w/o CC/MCC,416,MS-DRG,,inpatient,,,,,,257,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,224,257,
417 - Laparoscopic cholecystectomy w/o C.D.E. w MCC,417,MS-DRG,,inpatient,,,6341,6341,,669,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,525,3202,
418 - Laparoscopic cholecystectomy w/o C.D.E. w CC,418,MS-DRG,,inpatient,,,2111,2111,,371,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,208,596,
419 - Laparoscopic cholecystectomy w/o C.D.E. w/o CC/MCC,419,MS-DRG,,inpatient,,,281,281,,19,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,19,253,
42104 - EXCISION LESION MOUTH ROOF,42104,CPT,,both,,,34795,34795,,32971,,,,,,,case rate,,39672,,,,,,,case rate,,32029,,,,,,,case rate,,32029,,,,,,,case rate,,45911,,,,,,,case rate,,45911,,,,,,,case rate,,34268,,,,,,,case rate,,22287,,,,,,,case rate,,  ,,,,,,,case rate,,29295,,,,,,,case rate,,29295,,,,,,,case rate,,29295,,,,,,,case rate,,29881,,,,,,,case rate,,29295,,,,,,,case rate,,29295,,,,,,,case rate,,29295,,,,,,,case rate,,27244,,,,,,,case rate,,29295,,,,,,,case rate,,29295,,,,,,,case rate,,29295,,,,,,,case rate,,29295,,,,,,,case rate,,29881,,,,,,,case rate,,31345,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22287,45911,
42140 - EXCISION OF UVULA,42140,CPT,,both,,,6826,6826,,182,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,182,4308,
423 - Other hepatobiliary or pancreas O.R. procedures w MCC,423,MS-DRG,,inpatient,,,11282,11282,,421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,359,7121,
424 - Other hepatobiliary or pancreas O.R. procedures w CC,424,MS-DRG,,inpatient,,,2121,2121,,581,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,581,2172,
42410 - EXCISE PAROTID GLAND/LESION,42410,CPT,,both,,,12812,12812,,726,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,726,8086,
42700 - DRAINAGE OF TONSIL ABSCESS,42700,CPT,,both,,,918,918,,158,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,464,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,408,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,382,,,,,,,fee schedule,,835,,,,,,,fee schedule,,156,1880,
42808 - EXCISE PHARYNX LESION,42808,CPT,,both,,,36759,36759,,33070,,,,,,,case rate,,39791,,,,,,,case rate,,32125,,,,,,,case rate,,32125,,,,,,,case rate,,46049,,,,,,,case rate,,46049,,,,,,,case rate,,34371,,,,,,,case rate,,22354,,,,,,,case rate,,  ,,,,,,,case rate,,29378,,,,,,,case rate,,29378,,,,,,,case rate,,29378,,,,,,,case rate,,29966,,,,,,,case rate,,29378,,,,,,,case rate,,29378,,,,,,,case rate,,29378,,,,,,,case rate,,27322,,,,,,,case rate,,29378,,,,,,,case rate,,29378,,,,,,,case rate,,29378,,,,,,,case rate,,29378,,,,,,,case rate,,29966,,,,,,,case rate,,31435,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22354,46049,
42809 - REMOVE PHARYNX FOREIGN BODY,42809,CPT,,both,,,190,190,,142,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,572,,,,,,,fee schedule,,572,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,195,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,388,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,171,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,160,,,,,,,fee schedule,,350,,,,,,,fee schedule,,142,1880,
42810 - EXCISION OF NECK CYST,42810,CPT,,both,,,6826,6826,,337,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2124,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1869,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1751,,,,,,,fee schedule,,3824,,,,,,,fee schedule,,337,4308,
42820 - REMOVE TONSILS AND ADENOIDS,42820,CPT,,both,,,12812,12812,,338,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,1403,,,,,,,fee schedule,,1263,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1613,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1510,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,338,8086,
42821 - REMOVE TONSILS AND ADENOIDS,42821,CPT,,both,,,6826,6826,,351,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1613,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1510,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,351,4308,
42825 - REMOVAL OF TONSILS,42825,CPT,,both,,,12812,12812,,305,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1613,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1510,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,305,8086,
42826 - REMOVAL OF TONSILS,42826,CPT,,both,,,6826,6826,,293,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1613,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1510,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,293,4308,
42830 - REMOVAL OF ADENOIDS,42830,CPT,,both,,,6826,6826,,241,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1613,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1510,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,221,4308,
42831 - REMOVAL OF ADENOIDS,42831,CPT,,both,,,6826,6826,,261,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1613,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1510,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,233,4308,
42835 - REMOVAL OF ADENOIDS,42835,CPT,,both,,,6826,6826,,224,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1833,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1613,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,1510,,,,,,,fee schedule,,3299,,,,,,,fee schedule,,224,4308,
42870 - EXCISION OF LINGUAL TONSIL,42870,CPT,,both,,,49019,49019,,49945,,,,,,,case rate,,60096,,,,,,,case rate,,48518,,,,,,,case rate,,48518,,,,,,,case rate,,69547,,,,,,,case rate,,69547,,,,,,,case rate,,51910,,,,,,,case rate,,33761,,,,,,,case rate,,  ,,,,,,,case rate,,43675,,,,,,,case rate,,43675,,,,,,,case rate,,43675,,,,,,,case rate,,44549,,,,,,,case rate,,43675,,,,,,,case rate,,43675,,,,,,,case rate,,43675,,,,,,,case rate,,40618,,,,,,,case rate,,43675,,,,,,,case rate,,43675,,,,,,,case rate,,43675,,,,,,,case rate,,43675,,,,,,,case rate,,44549,,,,,,,case rate,,46733,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33761,69547,
42961 - CONTROL THROAT BLEEDING,42961,CPT,,both,,,15300,15300,,21295,,,,,,,case rate,,25623,,,,,,,case rate,,20687,,,,,,,case rate,,20687,,,,,,,case rate,,29653,,,,,,,case rate,,29653,,,,,,,case rate,,22133,,,,,,,case rate,,14395,,,,,,,case rate,,  ,,,,,,,case rate,,19403,,,,,,,case rate,,19403,,,,,,,case rate,,19403,,,,,,,case rate,,19791,,,,,,,case rate,,19403,,,,,,,case rate,,19403,,,,,,,case rate,,19403,,,,,,,case rate,,18045,,,,,,,case rate,,19403,,,,,,,case rate,,19403,,,,,,,case rate,,19403,,,,,,,case rate,,19403,,,,,,,case rate,,19791,,,,,,,case rate,,20761,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14395,29653,
432 - Cirrhosis & alcoholic hepatitis w MCC,432,MS-DRG,,inpatient,,,2598,2598,,143,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,143,1640,
43200 - ESOPHAGOSCOPY FLEXIBLE BRUSH,43200,CPT,,both,,,1981,1981,,109,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1073,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1005,,,,,,,fee schedule,,2195,,,,,,,fee schedule,,109,4134,
43233 - EGD BALLOON DIL ESOPH30 MM/>,43233,CPT,,both,,,4179,4179,,272,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,272,2637,
43235 - EGD DIAGNOSTIC BRUSH WASH,43235,CPT,,both,,,1981,1981,,149,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,1211,,,,,,,fee schedule,,1089,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1073,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1005,,,,,,,fee schedule,,2195,,,,,,,fee schedule,,147,4134,
43236 - UPPR GI SCOPE W/SUBMUC INJ,43236,CPT,,both,,,1981,1981,,168,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,168,1965,
43237 - ENDOSCOPIC US EXAM ESOPH,43237,CPT,,both,,,4179,4179,,234,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,234,2637,
43238 - EGD US FINE NEEDLE BX/ASPIR,43238,CPT,,both,,,4179,4179,,277,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,277,2637,
43239 - EGD BIOPSY SINGLE/MULTIPLE,43239,CPT,,both,,,1981,1981,,168,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,1211,,,,,,,fee schedule,,1089,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1073,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1005,,,,,,,fee schedule,,2195,,,,,,,fee schedule,,168,4134,
43242 - EGD US FINE NEEDLE BX/ASPIR,43242,CPT,,both,,,4179,4179,,313,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,313,2637,
43244 - EGD VARICES LIGATION,43244,CPT,,both,,,41723,41723,,28969,,,,,,,case rate,,34856,,,,,,,case rate,,28141,,,,,,,case rate,,28141,,,,,,,case rate,,40338,,,,,,,case rate,,40338,,,,,,,case rate,,30108,,,,,,,case rate,,19582,,,,,,,case rate,,  ,,,,,,,case rate,,25904,,,,,,,case rate,,25904,,,,,,,case rate,,25904,,,,,,,case rate,,26422,,,,,,,case rate,,25904,,,,,,,case rate,,25904,,,,,,,case rate,,25904,,,,,,,case rate,,24090,,,,,,,case rate,,25904,,,,,,,case rate,,25904,,,,,,,case rate,,25904,,,,,,,case rate,,25904,,,,,,,case rate,,26422,,,,,,,case rate,,27717,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19582,40338,
43246 - EGD PLACE GASTROSTOMY TUBE,43246,CPT,,both,,,2516,2516,,241,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1073,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1005,,,,,,,fee schedule,,2195,,,,,,,fee schedule,,241,4134,
43247 - EGD REMOVE FOREIGN BODY,43247,CPT,,both,,,1981,1981,,213,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1073,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1005,,,,,,,fee schedule,,2195,,,,,,,fee schedule,,204,4134,
43248 - EGD GUIDE WIRE INSERTION,43248,CPT,,both,,,1981,1981,,200,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,191,1965,
43249 - ESOPH EGD DILATION <30 MM,43249,CPT,,both,,,4179,4179,,185,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,177,2637,
43251 - EGD REMOVE LESION SNARE,43251,CPT,,both,,,4179,4179,,235,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1073,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1005,,,,,,,fee schedule,,2195,,,,,,,fee schedule,,222,4134,
43255 - EGD CONTROL BLEEDING ANY,43255,CPT,,both,,,4179,4179,,240,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,240,4134,
43259 - EGD US EXAM DUODENUM/JEJUNUM,43259,CPT,,both,,,4179,4179,,269,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1035,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,911,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,828,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1864,,,,,,,fee schedule,,269,3535,
43260 - ERCP W/SPECIMEN COLLECTION,43260,CPT,,both,,,3535,3535,,381,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1881,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3349,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1655,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1505,,,,,,,fee schedule,,1550,,,,,,,fee schedule,,3386,,,,,,,fee schedule,,355,4938,
43262 - ENDO CHOLANGIOPANCREATOGRAPH,43262,CPT,,both,,,380806,380806,,37699,,,,,,,case rate,,45361,,,,,,,case rate,,36622,,,,,,,case rate,,36622,,,,,,,case rate,,52495,,,,,,,case rate,,52495,,,,,,,case rate,,39182,,,,,,,case rate,,25483,,,,,,,case rate,,  ,,,,,,,case rate,,33300,,,,,,,case rate,,33300,,,,,,,case rate,,33300,,,,,,,case rate,,33966,,,,,,,case rate,,33300,,,,,,,case rate,,33300,,,,,,,case rate,,33300,,,,,,,case rate,,30969,,,,,,,case rate,,33300,,,,,,,case rate,,33300,,,,,,,case rate,,33300,,,,,,,case rate,,33300,,,,,,,case rate,,33966,,,,,,,case rate,,35631,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25483,52495,
43264 - ERCP REMOVE DUCT CALCULI,43264,CPT,,both,,,7824,7824,,430,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2055,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3349,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1808,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1644,,,,,,,fee schedule,,1693,,,,,,,fee schedule,,3699,,,,,,,fee schedule,,430,4938,
43274 - ERCP DUCT STENT PLACEMENT,43274,CPT,,both,,,12575,12575,,545,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,7936,,,,,,,fee schedule,,7936,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1819,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5130,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,4678,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5130,,,,,,,fee schedule,,5382,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1601,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1455,,,,,,,fee schedule,,1499,,,,,,,fee schedule,,3275,,,,,,,fee schedule,,545,7936,
43275 - ERCP REMOVE FORGN BODY DUCT,43275,CPT,,both,,,7824,7824,,445,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,4938,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3129,,,,,,,fee schedule,,3192,,,,,,,fee schedule,,3349,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1458,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1365,,,,,,,fee schedule,,2982,,,,,,,fee schedule,,445,4938,
43276 - ERCP STENT EXCHANGE W/DILATE,43276,CPT,,both,,,12575,12575,,568,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,7936,,,,,,,fee schedule,,7936,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5130,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,4678,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5030,,,,,,,fee schedule,,5130,,,,,,,fee schedule,,5382,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1458,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1325,,,,,,,fee schedule,,1365,,,,,,,fee schedule,,2982,,,,,,,fee schedule,,568,7936,
433 - Cirrhosis & alcoholic hepatitis w CC,433,MS-DRG,,inpatient,,,316,316,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
435 - Malignancy of hepatobiliary system or pancreas w MCC,435,MS-DRG,,inpatient,,,1388,1388,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,876,,,,,,,fee schedule,,876,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,516,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,594,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,516,876,
436 - Malignancy of hepatobiliary system or pancreas w CC,436,MS-DRG,,inpatient,,,280,280,,60,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,115,,,,,,,fee schedule,,115,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,68,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,78,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,60,147,
43763 - RPLC GTUBE REVJ GSTRST TRC,43763,CPT,,both,,,17991,17991,,20469,,,,,,,case rate,,24629,,,,,,,case rate,,19884,,,,,,,case rate,,19884,,,,,,,case rate,,28503,,,,,,,case rate,,28503,,,,,,,case rate,,21274,,,,,,,case rate,,13836,,,,,,,case rate,,  ,,,,,,,case rate,,18703,,,,,,,case rate,,18703,,,,,,,case rate,,18703,,,,,,,case rate,,19077,,,,,,,case rate,,18703,,,,,,,case rate,,18703,,,,,,,case rate,,18703,,,,,,,case rate,,17394,,,,,,,case rate,,18703,,,,,,,case rate,,18703,,,,,,,case rate,,18703,,,,,,,case rate,,18703,,,,,,,case rate,,19077,,,,,,,case rate,,20012,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13836,28503,
438 - Disorders of pancreas except malignancy w MCC,438,MS-DRG,,inpatient,,,1460,1460,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,729,,,,,,,fee schedule,,729,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,472,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,430,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,472,,,,,,,fee schedule,,495,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,729,
439 - Disorders of pancreas except malignancy w CC,439,MS-DRG,,inpatient,,,219,219,,49,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,49,93,
440 - Disorders of pancreas except malignancy w/o CC/MCC,440,MS-DRG,,inpatient,,,37,37,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,3,
"441 - Disorders of liver except malig, cirrhoses or alc hepatitis w MC",441,MS-DRG,,inpatient,,,2722,2722,,371,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,329,1153,
"442 - Disorders of liver except malig, cirrhoses or alc hepatitis w CC",442,MS-DRG,,inpatient,,,627,627,,60,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,60,88,
"443 - Disorders of liver except malig, cirrhoses or alc hepa w/o CC/MC",443,MS-DRG,,inpatient,,,106,106,,6,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,13,
44340 - REVISION OF COLOSTOMY,44340,CPT,,both,,,30995,30995,,37451,,,,,,,case rate,,45062,,,,,,,case rate,,36381,,,,,,,case rate,,36381,,,,,,,case rate,,52150,,,,,,,case rate,,52150,,,,,,,case rate,,38924,,,,,,,case rate,,25315,,,,,,,case rate,,  ,,,,,,,case rate,,33090,,,,,,,case rate,,33090,,,,,,,case rate,,33090,,,,,,,case rate,,33752,,,,,,,case rate,,33090,,,,,,,case rate,,33090,,,,,,,case rate,,33090,,,,,,,case rate,,30774,,,,,,,case rate,,33090,,,,,,,case rate,,33090,,,,,,,case rate,,33090,,,,,,,case rate,,33090,,,,,,,case rate,,33752,,,,,,,case rate,,35406,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25315,52150,
44345 - REVISION OF COLOSTOMY,44345,CPT,,both,,,36044,36044,,25654,,,,,,,case rate,,30868,,,,,,,case rate,,24921,,,,,,,case rate,,24921,,,,,,,case rate,,35723,,,,,,,case rate,,35723,,,,,,,case rate,,26664,,,,,,,case rate,,17341,,,,,,,case rate,,  ,,,,,,,case rate,,23096,,,,,,,case rate,,23096,,,,,,,case rate,,23096,,,,,,,case rate,,23558,,,,,,,case rate,,23096,,,,,,,case rate,,23096,,,,,,,case rate,,23096,,,,,,,case rate,,21479,,,,,,,case rate,,23096,,,,,,,case rate,,23096,,,,,,,case rate,,23096,,,,,,,case rate,,23096,,,,,,,case rate,,23558,,,,,,,case rate,,24712,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17341,35723,
44360 - SMALL BOWEL ENDOSCOPY,44360,CPT,,both,,,4179,4179,,173,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,2637,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1219,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1555,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1672,,,,,,,fee schedule,,1705,,,,,,,fee schedule,,1789,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1073,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,975,,,,,,,fee schedule,,1005,,,,,,,fee schedule,,2195,,,,,,,fee schedule,,170,4134,
44376 - SMALL BOWEL ENDOSCOPY,44376,CPT,,both,,,35450,35450,,29068,,,,,,,case rate,,34975,,,,,,,case rate,,28237,,,,,,,case rate,,28237,,,,,,,case rate,,40476,,,,,,,case rate,,40476,,,,,,,case rate,,30211,,,,,,,case rate,,19649,,,,,,,case rate,,  ,,,,,,,case rate,,25988,,,,,,,case rate,,25988,,,,,,,case rate,,25988,,,,,,,case rate,,26507,,,,,,,case rate,,25988,,,,,,,case rate,,25988,,,,,,,case rate,,25988,,,,,,,case rate,,24168,,,,,,,case rate,,25988,,,,,,,case rate,,25988,,,,,,,case rate,,25988,,,,,,,case rate,,25988,,,,,,,case rate,,26507,,,,,,,case rate,,27807,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19649,40476,
44388 - COLONOSCOPY THRU STOMA SPX,44388,CPT,,both,,,1994,1994,,190,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1177,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,742,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,853,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,1036,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,970,,,,,,,fee schedule,,2119,,,,,,,fee schedule,,182,2119,
44389 - COLONOSCOPY WITH BIOPSY,44389,CPT,,both,,,2598,2598,,207,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,996,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,1880,
444 - Disorders of the biliary tract w MCC,444,MS-DRG,,inpatient,,,2111,2111,,371,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,208,596,
445 - Disorders of the biliary tract w CC,445,MS-DRG,,inpatient,,,183,183,,49,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,141,
446 - Disorders of the biliary tract w/o CC/MCC,446,MS-DRG,,inpatient,,,99,99,,37,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30,37,
44970 - LAPAROSCOPY APPENDECTOMY,44970,CPT,,both,,,12506,12506,,713,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,577,7893,
45100 - BIOPSY OF RECTUM,45100,CPT,,both,,,6165,6165,,350,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1599,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1317,,,,,,,fee schedule,,2878,,,,,,,fee schedule,,275,3891,
45171 - EXC RECT TUM TRANSANAL PART,45171,CPT,,both,,,6165,6165,,705,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1948,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1714,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,3506,,,,,,,fee schedule,,674,3891,
45300 - PROCTOSIGMOIDOSCOPY DX,45300,CPT,,both,,,1994,1994,,63,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,742,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,853,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,775,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,725,,,,,,,fee schedule,,1584,,,,,,,fee schedule,,28,1880,
45303 - PROCTOSIGMOIDOSCOPY DILATE,45303,CPT,,both,,,2598,2598,,108,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,717,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,574,,,,,,,fee schedule,,574,,,,,,,fee schedule,,574,,,,,,,fee schedule,,574,,,,,,,fee schedule,,574,,,,,,,fee schedule,,574,,,,,,,fee schedule,,631,,,,,,,fee schedule,,574,,,,,,,fee schedule,,574,,,,,,,fee schedule,,574,,,,,,,fee schedule,,591,,,,,,,fee schedule,,1291,,,,,,,fee schedule,,32,1880,
45305 - PROCTOSIGMOIDOSCOPY W/BX,45305,CPT,,both,,,2598,2598,,92,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1001,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,801,,,,,,,fee schedule,,801,,,,,,,fee schedule,,801,,,,,,,fee schedule,,801,,,,,,,fee schedule,,801,,,,,,,fee schedule,,801,,,,,,,fee schedule,,881,,,,,,,fee schedule,,801,,,,,,,fee schedule,,801,,,,,,,fee schedule,,801,,,,,,,fee schedule,,825,,,,,,,fee schedule,,1802,,,,,,,fee schedule,,64,1880,
45320 - PROCTOSIGMOIDOSCOPY ABLATE,45320,CPT,,both,,,28963,28963,,30967,,,,,,,case rate,,37260,,,,,,,case rate,,30082,,,,,,,case rate,,30082,,,,,,,case rate,,43120,,,,,,,case rate,,43120,,,,,,,case rate,,32185,,,,,,,case rate,,20932,,,,,,,case rate,,  ,,,,,,,case rate,,27597,,,,,,,case rate,,27597,,,,,,,case rate,,27597,,,,,,,case rate,,28148,,,,,,,case rate,,27597,,,,,,,case rate,,27597,,,,,,,case rate,,27597,,,,,,,case rate,,25665,,,,,,,case rate,,27597,,,,,,,case rate,,27597,,,,,,,case rate,,27597,,,,,,,case rate,,27597,,,,,,,case rate,,28148,,,,,,,case rate,,29528,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20932,43120,
45330 - DIAGNOSTIC SIGMOIDOSCOPY,45330,CPT,,both,,,1994,1994,,65,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,742,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,853,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,775,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,704,,,,,,,fee schedule,,725,,,,,,,fee schedule,,1584,,,,,,,fee schedule,,64,1880,
45331 - SIGMOIDOSCOPY AND BIOPSY,45331,CPT,,both,,,1994,1994,,84,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1183,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,742,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,853,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,1041,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,975,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,72,2129,
45334 - SIGMOIDOSCOPY FOR BLEEDING,45334,CPT,,both,,,17997,17997,,26576,,,,,,,case rate,,31978,,,,,,,case rate,,25817,,,,,,,case rate,,25817,,,,,,,case rate,,37007,,,,,,,case rate,,37007,,,,,,,case rate,,27622,,,,,,,case rate,,17965,,,,,,,case rate,,  ,,,,,,,case rate,,23877,,,,,,,case rate,,23877,,,,,,,case rate,,23877,,,,,,,case rate,,24354,,,,,,,case rate,,23877,,,,,,,case rate,,23877,,,,,,,case rate,,23877,,,,,,,case rate,,22206,,,,,,,case rate,,23877,,,,,,,case rate,,23877,,,,,,,case rate,,23877,,,,,,,case rate,,23877,,,,,,,case rate,,24354,,,,,,,case rate,,25548,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17965,37007,
45335 - SIGMOIDOSCOPY W/SUBMUC INJ,45335,CPT,,both,,,1994,1994,,84,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1001,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,742,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,853,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,1880,
45338 - SIGMOIDOSCOPY W/TUMR REMOVE,45338,CPT,,both,,,2598,2598,,147,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1183,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,1041,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,946,,,,,,,fee schedule,,975,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,142,4134,
45349 - SIGMOIDOSCOPY W/RESECTION,45349,CPT,,both,,,29544,29544,,31141,,,,,,,case rate,,37470,,,,,,,case rate,,30251,,,,,,,case rate,,30251,,,,,,,case rate,,43363,,,,,,,case rate,,43363,,,,,,,case rate,,32366,,,,,,,case rate,,21050,,,,,,,case rate,,  ,,,,,,,case rate,,27744,,,,,,,case rate,,27744,,,,,,,case rate,,27744,,,,,,,case rate,,28299,,,,,,,case rate,,27744,,,,,,,case rate,,27744,,,,,,,case rate,,27744,,,,,,,case rate,,25802,,,,,,,case rate,,27744,,,,,,,case rate,,27744,,,,,,,case rate,,27744,,,,,,,case rate,,27744,,,,,,,case rate,,28299,,,,,,,case rate,,29686,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21050,43363,
45378 - DIAGNOSTIC COLONOSCOPY,45378,CPT,,both,,,1994,1994,,222,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1177,,,,,,,fee schedule,,1211,,,,,,,fee schedule,,1089,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,742,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,853,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,1036,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,970,,,,,,,fee schedule,,2119,,,,,,,fee schedule,,222,4134,
45380 - COLONOSCOPY AND BIOPSY,45380,CPT,,both,,,2598,2598,,240,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1177,,,,,,,fee schedule,,1211,,,,,,,fee schedule,,1089,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,1036,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,970,,,,,,,fee schedule,,2119,,,,,,,fee schedule,,240,3578,
45381 - COLONOSCOPY SUBMUCOUS NJX,45381,CPT,,both,,,2598,2598,,240,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1124,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,990,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,927,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,240,2024,
45384 - COLONOSCOPY W/LESION REMOVAL,45384,CPT,,both,,,2598,2598,,274,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1538,,,,,,,fee schedule,,1314,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1157,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1083,,,,,,,fee schedule,,2366,,,,,,,fee schedule,,274,2366,
45385 - COLONOSCOPY W/LESION REMOVAL,45385,CPT,,both,,,2598,2598,,304,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1314,,,,,,,fee schedule,,1211,,,,,,,fee schedule,,1089,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1157,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1051,,,,,,,fee schedule,,1083,,,,,,,fee schedule,,2366,,,,,,,fee schedule,,304,4134,
45390 - COLONOSCOPY W/RESECTION,45390,CPT,,both,,,6165,6165,,395,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1124,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,990,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,900,,,,,,,fee schedule,,927,,,,,,,fee schedule,,2024,,,,,,,fee schedule,,395,3891,
45391 - COLONOSCOPY W/ENDOSCOPE US,45391,CPT,,both,,,2598,2598,,306,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,996,,,,,,,fee schedule,,1211,,,,,,,fee schedule,,1089,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,876,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,797,,,,,,,fee schedule,,820,,,,,,,fee schedule,,1792,,,,,,,fee schedule,,306,4134,
45398 - COLONOSCOPY W/BAND LIGATION,45398,CPT,,both,,,37197,37197,,26656,,,,,,,case rate,,32074,,,,,,,case rate,,25895,,,,,,,case rate,,25895,,,,,,,case rate,,37118,,,,,,,case rate,,37118,,,,,,,case rate,,27705,,,,,,,case rate,,18019,,,,,,,case rate,,  ,,,,,,,case rate,,23945,,,,,,,case rate,,23945,,,,,,,case rate,,23945,,,,,,,case rate,,24424,,,,,,,case rate,,23945,,,,,,,case rate,,23945,,,,,,,case rate,,23945,,,,,,,case rate,,22269,,,,,,,case rate,,23945,,,,,,,case rate,,23945,,,,,,,case rate,,23945,,,,,,,case rate,,23945,,,,,,,case rate,,24424,,,,,,,case rate,,25621,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18019,37118,
454 - Combined anterior and posterior spinal fusion w CC,454,MS-DRG,,inpatient,,,15871,15871,,753,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,753,10017,
455 - Combined anterior and posterior spinal fusion w/o CC/MCC,455,MS-DRG,,inpatient,,,12506,12506,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,2354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,2071,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1940,,,,,,,fee schedule,,4237,,,,,,,fee schedule,,1883,7893,
45541 - CORRECT RECTAL PROLAPSE,45541,CPT,,both,,,6165,6165,,1109,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1948,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1714,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,3506,,,,,,,fee schedule,,875,3891,
45560 - REPAIR OF RECTOCELE,45560,CPT,,both,,,31130,31130,,31171,,,,,,,case rate,,37506,,,,,,,case rate,,30280,,,,,,,case rate,,30280,,,,,,,case rate,,43405,,,,,,,case rate,,43405,,,,,,,case rate,,32397,,,,,,,case rate,,21070,,,,,,,case rate,,  ,,,,,,,case rate,,27770,,,,,,,case rate,,27770,,,,,,,case rate,,27770,,,,,,,case rate,,28325,,,,,,,case rate,,27770,,,,,,,case rate,,27770,,,,,,,case rate,,27770,,,,,,,case rate,,25826,,,,,,,case rate,,27770,,,,,,,case rate,,27770,,,,,,,case rate,,27770,,,,,,,case rate,,27770,,,,,,,case rate,,28325,,,,,,,case rate,,29713,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21070,43405,
457 - Spinal fus exc cerv w spinal curv/malig/infec or ext fus w CC,457,MS-DRG,,inpatient,,,15871,15871,,359,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,359,10017,
458 - Spinl fus exc cerv w spinl curv/malig/infec or ext fus w/o CC/MC,458,MS-DRG,,inpatient,,,12506,12506,,1013,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1013,7893,
45905 - DILATION OF ANAL SPHINCTER,45905,CPT,,both,,,2598,2598,,198,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1392,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,139,1880,
45910 - DILATION OF RECTAL NARROWING,45910,CPT,,both,,,2598,2598,,226,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1599,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1279,,,,,,,fee schedule,,1317,,,,,,,fee schedule,,2878,,,,,,,fee schedule,,166,2878,
460 - Spinal fusion except cervical w/o MCC,460,MS-DRG,,inpatient,,,11925,11925,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5778,,,,,,,fee schedule,,5778,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5778,5778,
46020 - PLACEMENT OF SETON,46020,CPT,,both,,,6165,6165,,274,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1392,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1225,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1113,,,,,,,fee schedule,,1147,,,,,,,fee schedule,,2505,,,,,,,fee schedule,,234,3891,
46030 - REMOVAL OF RECTAL MARKER,46030,CPT,,both,,,11447,11447,,26452,,,,,,,case rate,,31828,,,,,,,case rate,,25696,,,,,,,case rate,,25696,,,,,,,case rate,,36834,,,,,,,case rate,,36834,,,,,,,case rate,,27493,,,,,,,case rate,,17881,,,,,,,case rate,,  ,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,24247,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,22108,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,24247,,,,,,,case rate,,25436,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17881,36834,
46050 - INCISION OF ANAL ABSCESS,46050,CPT,,both,,,2608,2608,,113,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,1258,,,,,,,fee schedule,,678,,,,,,,fee schedule,,678,,,,,,,fee schedule,,1498,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,742,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,814,,,,,,,fee schedule,,853,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1318,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1199,,,,,,,fee schedule,,1235,,,,,,,fee schedule,,2697,,,,,,,fee schedule,,113,2697,
462 - Bilateral or multiple maj joint procs of lower extremity w/o MCC,462,MS-DRG,,inpatient,,,7142,7142,,488,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,400,4508,
46220 - EXCISE ANAL EXT TAG/PAPILLA,46220,CPT,,both,,,19975,19975,,26416,,,,,,,case rate,,31785,,,,,,,case rate,,25661,,,,,,,case rate,,25661,,,,,,,case rate,,36784,,,,,,,case rate,,36784,,,,,,,case rate,,27455,,,,,,,case rate,,17856,,,,,,,case rate,,  ,,,,,,,case rate,,23741,,,,,,,case rate,,23741,,,,,,,case rate,,23741,,,,,,,case rate,,24216,,,,,,,case rate,,23741,,,,,,,case rate,,23741,,,,,,,case rate,,23741,,,,,,,case rate,,22079,,,,,,,case rate,,23741,,,,,,,case rate,,23741,,,,,,,case rate,,23741,,,,,,,case rate,,23741,,,,,,,case rate,,24216,,,,,,,case rate,,25403,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17856,36784,
46255 - REMOVE INT/EXT HEM 1 GROUP,46255,CPT,,both,,,6165,6165,,414,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1948,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1714,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,3506,,,,,,,fee schedule,,338,3891,
46260 - REMOVE IN/EX HEM GROUPS 2+,46260,CPT,,both,,,6165,6165,,557,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1948,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1714,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,3506,,,,,,,fee schedule,,463,3891,
46270 - REMOVE ANAL FIST SUBQ,46270,CPT,,both,,,6165,6165,,459,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1948,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1714,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,3506,,,,,,,fee schedule,,281,3891,
46275 - REMOVE ANAL FIST INTER,46275,CPT,,both,,,6165,6165,,481,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1948,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1714,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1558,,,,,,,fee schedule,,1605,,,,,,,fee schedule,,3506,,,,,,,fee schedule,,325,3891,
"463 - Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC",463,MS-DRG,,inpatient,,,14845,14845,,246,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,246,9369,
"464 - Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC",464,MS-DRG,,inpatient,,,7690,7690,,451,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,451,4854,
"465 - Wnd debrid & skn grft exc hand, for musculo-conn tiss w/o CC/MCC",465,MS-DRG,,inpatient,,,2363,2363,,1059,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1415,,,,,,,fee schedule,,1415,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,897,,,,,,,fee schedule,,897,,,,,,,fee schedule,,897,,,,,,,fee schedule,,915,,,,,,,fee schedule,,897,,,,,,,fee schedule,,897,,,,,,,fee schedule,,897,,,,,,,fee schedule,,834,,,,,,,fee schedule,,897,,,,,,,fee schedule,,897,,,,,,,fee schedule,,897,,,,,,,fee schedule,,897,,,,,,,fee schedule,,915,,,,,,,fee schedule,,960,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,834,1415,
46600 - DIAGNOSTIC ANOSCOPY SPX,46600,CPT,,both,,,341,341,,47,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,28,1880,
46604 - ANOSCOPY AND DILATION,46604,CPT,,both,,,2598,2598,,77,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,290,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,255,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,239,,,,,,,fee schedule,,522,,,,,,,fee schedule,,76,4134,
467 - Revision of hip or knee replacement w CC,467,MS-DRG,,inpatient,,,8498,8498,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,407,5364,
46750 - REPAIR OF ANAL SPHINCTER,46750,CPT,,both,,,34982,34982,,31143,,,,,,,case rate,,37472,,,,,,,case rate,,30252,,,,,,,case rate,,30252,,,,,,,case rate,,43365,,,,,,,case rate,,43365,,,,,,,case rate,,32368,,,,,,,case rate,,21051,,,,,,,case rate,,  ,,,,,,,case rate,,27746,,,,,,,case rate,,27746,,,,,,,case rate,,27746,,,,,,,case rate,,28300,,,,,,,case rate,,27746,,,,,,,case rate,,27746,,,,,,,case rate,,27746,,,,,,,case rate,,25803,,,,,,,case rate,,27746,,,,,,,case rate,,27746,,,,,,,case rate,,27746,,,,,,,case rate,,27746,,,,,,,case rate,,28300,,,,,,,case rate,,29688,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21051,43365,
46754 - REMOVAL OF SUTURE FROM ANUS,46754,CPT,,both,,,30646,30646,,31036,,,,,,,case rate,,37343,,,,,,,case rate,,30149,,,,,,,case rate,,30149,,,,,,,case rate,,43217,,,,,,,case rate,,43217,,,,,,,case rate,,32257,,,,,,,case rate,,20979,,,,,,,case rate,,  ,,,,,,,case rate,,27655,,,,,,,case rate,,27655,,,,,,,case rate,,27655,,,,,,,case rate,,28208,,,,,,,case rate,,27655,,,,,,,case rate,,27655,,,,,,,case rate,,27655,,,,,,,case rate,,25719,,,,,,,case rate,,27655,,,,,,,case rate,,27655,,,,,,,case rate,,27655,,,,,,,case rate,,27655,,,,,,,case rate,,28208,,,,,,,case rate,,29591,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20979,43217,
468 - Revision of hip or knee replacement w/o CC/MCC,468,MS-DRG,,inpatient,,,6784,6784,,497,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,4282,
469 - Maj hip/knee jnt or tot ank rplcmnt/rattchmnt of low xtrmty w MC,469,MS-DRG,,inpatient,,,7805,7805,,427,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,427,4926,
46922 - EXCISION OF ANAL LESION(S),46922,CPT,,both,,,2206,2206,,158,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1031,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,908,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,850,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,147,3891,
46924 - DESTRUCTION ANAL LESION(S),46924,CPT,,both,,,6165,6165,,212,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1031,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,908,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,850,,,,,,,fee schedule,,1857,,,,,,,fee schedule,,195,3891,
46930 - DESTROY INTERNAL HEMORRHOIDS,46930,CPT,,both,,,35431,35431,,26647,,,,,,,case rate,,32063,,,,,,,case rate,,25885,,,,,,,case rate,,25885,,,,,,,case rate,,37105,,,,,,,case rate,,37105,,,,,,,case rate,,27695,,,,,,,case rate,,18012,,,,,,,case rate,,  ,,,,,,,case rate,,23937,,,,,,,case rate,,23937,,,,,,,case rate,,23937,,,,,,,case rate,,24416,,,,,,,case rate,,23937,,,,,,,case rate,,23937,,,,,,,case rate,,23937,,,,,,,case rate,,22261,,,,,,,case rate,,23937,,,,,,,case rate,,23937,,,,,,,case rate,,23937,,,,,,,case rate,,23937,,,,,,,case rate,,24416,,,,,,,case rate,,25612,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18012,37105,
470 - Maj hip/knee joint rplcmnt/reattachment of low extremity w/o MCC,470,MS-DRG,,inpatient,,,4746,4746,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1487,,,,,,,fee schedule,,1487,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1487,1487,
47000 - NEEDLE BIOPSY OF LIVER,47000,CPT,,both,,,2252,2252,,117,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,949,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,835,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,782,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,107,2271,
471 - Cervical spinal fusion w MCC,471,MS-DRG,,inpatient,,,12812,12812,,727,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,727,8086,
472 - Cervical spinal fusion w CC,472,MS-DRG,,inpatient,,,7690,7690,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,220,4854,
473 - Cervical spinal fusion w/o CC/MCC,473,MS-DRG,,inpatient,,,6165,6165,,786,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,718,3891,
474 - Amputation for musculoskeletal sys & conn tissue dis w MCC,474,MS-DRG,,inpatient,,,16862,16862,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7872,,,,,,,fee schedule,,7872,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7872,7872,
475 - Amputation for musculoskeletal sys & conn tissue dis w CC,475,MS-DRG,,inpatient,,,4141,4141,,206,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,193,2613,
47531 - INJECTION FOR CHOLANGIOGRAM,47531,CPT,,both,,,3942,3942,,109,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,471,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,414,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,388,,,,,,,fee schedule,,847,,,,,,,fee schedule,,109,5364,
47562 - LAPAROSCOPIC CHOLECYSTECTOMY,47562,CPT,,both,,,12506,12506,,781,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,2561,,,,,,,fee schedule,,2305,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,719,7893,
477 - Biopsies of musculoskeletal system & connective tissue w MCC,477,MS-DRG,,inpatient,,,7805,7805,,1161,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1161,4926,
478 - Biopsies of musculoskeletal system & connective tissue w CC,478,MS-DRG,,inpatient,,,11438,11438,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3454,,,,,,,fee schedule,,3454,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3454,3454,
481 - Hip & femur procedures except major joint w CC,481,MS-DRG,,inpatient,,,1957,1957,,441,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,441,2172,
48102 - NEEDLE BIOPSY PANCREAS,48102,CPT,,both,,,33074,33074,,28105,,,,,,,case rate,,33817,,,,,,,case rate,,27301,,,,,,,case rate,,27301,,,,,,,case rate,,39135,,,,,,,case rate,,39135,,,,,,,case rate,,29210,,,,,,,case rate,,18998,,,,,,,case rate,,  ,,,,,,,case rate,,25172,,,,,,,case rate,,25172,,,,,,,case rate,,25172,,,,,,,case rate,,25675,,,,,,,case rate,,25172,,,,,,,case rate,,25172,,,,,,,case rate,,25172,,,,,,,case rate,,23410,,,,,,,case rate,,25172,,,,,,,case rate,,25172,,,,,,,case rate,,25172,,,,,,,case rate,,25172,,,,,,,case rate,,25675,,,,,,,case rate,,26934,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18998,39135,
482 - Hip & femur procedures except major joint w/o CC/MCC,482,MS-DRG,,inpatient,,,382,382,,133,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,133,565,
486 - Knee procedures w PDX of infection w CC,486,MS-DRG,,inpatient,,,3331,3331,,285,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,267,2102,
488 - Knee procedures w/o PDX of infection w CC/MCC,488,MS-DRG,,inpatient,,,4182,4182,,274,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,274,2271,
489 - Knee procedures w/o PDX of infection w/o CC/MCC,489,MS-DRG,,inpatient,,,,,,126,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,126,222,
49082 - ABD PARACENTESIS,49082,CPT,,both,,,1704,1704,,85,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,782,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,688,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,625,,,,,,,fee schedule,,644,,,,,,,fee schedule,,1407,,,,,,,fee schedule,,85,1965,
49083 - ABD PARACENTESIS W/IMAGING,49083,CPT,,both,,,1785,1785,,123,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,949,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,835,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,782,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,123,4134,
49180 - BIOPSY ABDOMINAL MASS,49180,CPT,,both,,,3515,3515,,97,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,820,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,722,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,676,,,,,,,fee schedule,,1477,,,,,,,fee schedule,,97,2271,
"492 - Lower extrem & humer proc except hip ,foot, femur w MCC",492,MS-DRG,,inpatient,,,8387,8387,,1926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1747,5293,
"493 - Lower extrem & humer proc except hip, foot, femur w CC",493,MS-DRG,,inpatient,,,6165,6165,,238,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,3891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2466,,,,,,,fee schedule,,2515,,,,,,,fee schedule,,2639,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,238,3891,
49320 - DIAG LAPARO SEPARATE PROC,49320,CPT,,both,,,12506,12506,,382,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,2354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,2071,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1940,,,,,,,fee schedule,,4237,,,,,,,fee schedule,,363,7893,
49321 - LAPAROSCOPY BIOPSY,49321,CPT,,both,,,44110,44110,,46423,,,,,,,case rate,,55858,,,,,,,case rate,,45096,,,,,,,case rate,,45096,,,,,,,case rate,,64643,,,,,,,case rate,,64643,,,,,,,case rate,,48250,,,,,,,case rate,,31380,,,,,,,case rate,,  ,,,,,,,case rate,,40692,,,,,,,case rate,,40692,,,,,,,case rate,,40692,,,,,,,case rate,,41506,,,,,,,case rate,,40692,,,,,,,case rate,,40692,,,,,,,case rate,,40692,,,,,,,case rate,,37843,,,,,,,case rate,,40692,,,,,,,case rate,,40692,,,,,,,case rate,,40692,,,,,,,case rate,,40692,,,,,,,case rate,,41506,,,,,,,case rate,,43540,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31380,64643,
49322 - LAPAROSCOPY ASPIRATION,49322,CPT,,both,,,12506,12506,,430,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,2354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,2071,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1940,,,,,,,fee schedule,,4237,,,,,,,fee schedule,,408,7893,
49324 - LAP INSERT TUNNEL IP CATH,49324,CPT,,both,,,12506,12506,,462,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,2354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,2071,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1883,,,,,,,fee schedule,,1940,,,,,,,fee schedule,,4237,,,,,,,fee schedule,,386,7893,
49329 - UNLSTD LAPS PX ABD PERTM&OMN,49329,CPT,,both,,,43031,43031,,49285,,,,,,,case rate,,59302,,,,,,,case rate,,47877,,,,,,,case rate,,47877,,,,,,,case rate,,68629,,,,,,,case rate,,68629,,,,,,,case rate,,51224,,,,,,,case rate,,33315,,,,,,,case rate,,  ,,,,,,,case rate,,43116,,,,,,,case rate,,43116,,,,,,,case rate,,43116,,,,,,,case rate,,43979,,,,,,,case rate,,43116,,,,,,,case rate,,43116,,,,,,,case rate,,43116,,,,,,,case rate,,40098,,,,,,,case rate,,43116,,,,,,,case rate,,43116,,,,,,,case rate,,43116,,,,,,,case rate,,43116,,,,,,,case rate,,43979,,,,,,,case rate,,46135,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33315,68629,
"494 - Lower extrem & humer proc except hip, foot, femur w/o CC/MCC",494,MS-DRG,,inpatient,,,5290,5290,,371,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,329,1323,
49405 - IMAGE CATH FLUID COLXN VISC,49405,CPT,,both,,,3612,3612,,239,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,949,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,239,4134,
49406 - IMAGE CATH FLUID PERI/RETRO,49406,CPT,,both,,,3684,3684,,239,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,949,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,835,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,782,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,239,4134,
49422 - REMOVE TUNNELED IP CATH,49422,CPT,,both,,,7148,7148,,451,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,949,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,835,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,759,,,,,,,fee schedule,,782,,,,,,,fee schedule,,1708,,,,,,,fee schedule,,410,4511,
49450 - REPLACE G/C TUBE PERC,49450,CPT,,both,,,1158,1158,,76,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,1250,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,814,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,737,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,792,,,,,,,fee schedule,,808,,,,,,,fee schedule,,848,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,717,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,652,,,,,,,fee schedule,,671,,,,,,,fee schedule,,1466,,,,,,,fee schedule,,66,1965,
49492 - RPR ING HERN PREMIE BLOCKED,49492,CPT,,both,,,43848,43848,,40062,,,,,,,case rate,,48203,,,,,,,case rate,,38917,,,,,,,case rate,,38917,,,,,,,case rate,,55785,,,,,,,case rate,,55785,,,,,,,case rate,,41638,,,,,,,case rate,,27080,,,,,,,case rate,,  ,,,,,,,case rate,,35302,,,,,,,case rate,,35302,,,,,,,case rate,,35302,,,,,,,case rate,,36008,,,,,,,case rate,,35302,,,,,,,case rate,,35302,,,,,,,case rate,,35302,,,,,,,case rate,,32831,,,,,,,case rate,,35302,,,,,,,case rate,,35302,,,,,,,case rate,,35302,,,,,,,case rate,,35302,,,,,,,case rate,,36008,,,,,,,case rate,,37773,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27080,55785,
49495 - RPR ING HERNIA BABY REDUC,49495,CPT,,both,,,8498,8498,,444,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,419,5364,
49500 - RPR ING HERNIA INIT REDUCE,49500,CPT,,both,,,8498,8498,,412,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,390,5364,
49505 - PRP I/HERN INIT REDUC >5 YR,49505,CPT,,both,,,8498,8498,,617,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,1578,,,,,,,fee schedule,,1421,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,513,5364,
49560 - RPR VENTRAL HERN INIT REDUC,49560,CPT,,both,,,,,,874,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3159,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2780,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2603,,,,,,,fee schedule,,5686,,,,,,,fee schedule,,774,5686,
49561 - RPR VENTRAL HERN INIT BLOCK,49561,CPT,,both,,,,,,1104,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3159,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2780,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2603,,,,,,,fee schedule,,5686,,,,,,,fee schedule,,915,5686,
49565 - REREPAIR VENTRL HERN REDUCE,49565,CPT,,both,,,,,,910,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3159,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2780,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2527,,,,,,,fee schedule,,2603,,,,,,,fee schedule,,5686,,,,,,,fee schedule,,781,5686,
49568 - HERNIA REPAIR W/MESH,49568,CPT,,both,,,,,,318,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,294,4651,
49570 - RPR EPIGASTRIC HERN REDUCE,49570,CPT,,both,,,,,,492,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,404,4651,
49572 - RPR EPIGASTRIC HERN BLOCKED,49572,CPT,,both,,,,,,611,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,471,4651,
49582 - RPR UMBIL HERN BLOCK < 5 YR,49582,CPT,,both,,,82391,82391,,70647,,,,,,,case rate,,85004,,,,,,,case rate,,68627,,,,,,,case rate,,68627,,,,,,,case rate,,98374,,,,,,,case rate,,98374,,,,,,,case rate,,73426,,,,,,,case rate,,47755,,,,,,,case rate,,  ,,,,,,,case rate,,61214,,,,,,,case rate,,61214,,,,,,,case rate,,61214,,,,,,,case rate,,62438,,,,,,,case rate,,61214,,,,,,,case rate,,61214,,,,,,,case rate,,61214,,,,,,,case rate,,56929,,,,,,,case rate,,61214,,,,,,,case rate,,61214,,,,,,,case rate,,61214,,,,,,,case rate,,61214,,,,,,,case rate,,62438,,,,,,,case rate,,65499,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,47755,98374,
49585 - RPR UMBIL HERN REDUC > 5 YR,49585,CPT,,both,,,,,,526,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,455,4651,
49587 - RPR UMBIL HERN BLOCK > 5 YR,49587,CPT,,both,,,,,,563,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2584,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2274,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2067,,,,,,,fee schedule,,2129,,,,,,,fee schedule,,4651,,,,,,,fee schedule,,518,4651,
49591 - RPR AA HRN 1ST < 3 CM RDC,49591,CPT,,both,,,30062,30062,,39229,,,,,,,case rate,,47202,,,,,,,case rate,,38108,,,,,,,case rate,,38108,,,,,,,case rate,,54626,,,,,,,case rate,,54626,,,,,,,case rate,,40773,,,,,,,case rate,,26517,,,,,,,case rate,,  ,,,,,,,case rate,,34597,,,,,,,case rate,,34597,,,,,,,case rate,,34597,,,,,,,case rate,,35289,,,,,,,case rate,,34597,,,,,,,case rate,,34597,,,,,,,case rate,,34597,,,,,,,case rate,,32175,,,,,,,case rate,,34597,,,,,,,case rate,,34597,,,,,,,case rate,,34597,,,,,,,case rate,,34597,,,,,,,case rate,,35289,,,,,,,case rate,,37018,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26517,54626,
49592 - RPR AA HRN 1ST < 3 NCR/STRN,49592,CPT,,both,,,44690,44690,,47033,,,,,,,case rate,,56591,,,,,,,case rate,,45688,,,,,,,case rate,,45688,,,,,,,case rate,,65492,,,,,,,case rate,,65492,,,,,,,case rate,,48883,,,,,,,case rate,,31792,,,,,,,case rate,,  ,,,,,,,case rate,,41208,,,,,,,case rate,,41208,,,,,,,case rate,,41208,,,,,,,case rate,,42032,,,,,,,case rate,,41208,,,,,,,case rate,,41208,,,,,,,case rate,,41208,,,,,,,case rate,,38324,,,,,,,case rate,,41208,,,,,,,case rate,,41208,,,,,,,case rate,,41208,,,,,,,case rate,,41208,,,,,,,case rate,,42032,,,,,,,case rate,,44093,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31792,65492,
49593 - RPR AA HRN 1ST 3-10 RDC,49593,CPT,,both,,,29424,29424,,39385,,,,,,,case rate,,47389,,,,,,,case rate,,38259,,,,,,,case rate,,38259,,,,,,,case rate,,54842,,,,,,,case rate,,54842,,,,,,,case rate,,40934,,,,,,,case rate,,26623,,,,,,,case rate,,  ,,,,,,,case rate,,34728,,,,,,,case rate,,34728,,,,,,,case rate,,34728,,,,,,,case rate,,35423,,,,,,,case rate,,34728,,,,,,,case rate,,34728,,,,,,,case rate,,34728,,,,,,,case rate,,32297,,,,,,,case rate,,34728,,,,,,,case rate,,34728,,,,,,,case rate,,34728,,,,,,,case rate,,34728,,,,,,,case rate,,35423,,,,,,,case rate,,37159,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26623,54842,
49594 - RPR AA HRN 1ST 3-10 NCR/STRN,49594,CPT,,both,,,109296,109296,,47146,,,,,,,case rate,,56728,,,,,,,case rate,,45798,,,,,,,case rate,,45798,,,,,,,case rate,,65650,,,,,,,case rate,,65650,,,,,,,case rate,,49001,,,,,,,case rate,,31869,,,,,,,case rate,,  ,,,,,,,case rate,,41304,,,,,,,case rate,,41304,,,,,,,case rate,,41304,,,,,,,case rate,,42130,,,,,,,case rate,,41304,,,,,,,case rate,,41304,,,,,,,case rate,,41304,,,,,,,case rate,,38413,,,,,,,case rate,,41304,,,,,,,case rate,,41304,,,,,,,case rate,,41304,,,,,,,case rate,,41304,,,,,,,case rate,,42130,,,,,,,case rate,,44195,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31869,65650,
49595 - RPR AA HRN 1ST > 10 RDC,49595,CPT,,both,,,38889,38889,,40073,,,,,,,case rate,,48217,,,,,,,case rate,,38927,,,,,,,case rate,,38927,,,,,,,case rate,,55800,,,,,,,case rate,,55800,,,,,,,case rate,,41649,,,,,,,case rate,,27088,,,,,,,case rate,,  ,,,,,,,case rate,,35311,,,,,,,case rate,,35311,,,,,,,case rate,,35311,,,,,,,case rate,,36017,,,,,,,case rate,,35311,,,,,,,case rate,,35311,,,,,,,case rate,,35311,,,,,,,case rate,,32839,,,,,,,case rate,,35311,,,,,,,case rate,,35311,,,,,,,case rate,,35311,,,,,,,case rate,,35311,,,,,,,case rate,,36017,,,,,,,case rate,,37783,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27088,55800,
49616 - RPR AA HRN RCR 3-10 NCR/STRN,49616,CPT,,both,,,21863,21863,,25090,,,,,,,case rate,,30190,,,,,,,case rate,,24373,,,,,,,case rate,,24373,,,,,,,case rate,,34938,,,,,,,case rate,,34938,,,,,,,case rate,,26078,,,,,,,case rate,,16960,,,,,,,case rate,,  ,,,,,,,case rate,,22618,,,,,,,case rate,,22618,,,,,,,case rate,,22618,,,,,,,case rate,,23070,,,,,,,case rate,,22618,,,,,,,case rate,,22618,,,,,,,case rate,,22618,,,,,,,case rate,,21035,,,,,,,case rate,,22618,,,,,,,case rate,,22618,,,,,,,case rate,,22618,,,,,,,case rate,,22618,,,,,,,case rate,,23070,,,,,,,case rate,,24201,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16960,34938,
49650 - LAP ING HERNIA REPAIR INIT,49650,CPT,,both,,,12506,12506,,507,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,425,7893,
49652 - LAP VENT/ABD HERNIA REPAIR,49652,CPT,,both,,,,,,883,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,805,5954,
498 - Local excision & removal int fix devices of hip & femur w CC/MCC,498,MS-DRG,,inpatient,,,6198,6198,,643,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,589,3912,
499 - Local excision & removal int fix device of hip & femur w/o CC/MC,499,MS-DRG,,inpatient,,,57,57,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,2,253,
50040 - NFROS NFROT W/DRG,50040,CPT,,both,,,1810,1810,,1127,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2566,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2403,,,,,,,fee schedule,,5248,,,,,,,fee schedule,,1119,5248,
50080 - PERQ NL/PL LITHOTRP SMPL<2CM,50080,CPT,,both,,,13173,13173,,1058,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,12959,,,,,,,fee schedule,,12959,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8377,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,7638,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8213,,,,,,,fee schedule,,8377,,,,,,,fee schedule,,8788,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2566,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2333,,,,,,,fee schedule,,2403,,,,,,,fee schedule,,5248,,,,,,,fee schedule,,1058,12959,
501 - Soft tissue procedures w CC,501,MS-DRG,,inpatient,,,150,150,,70,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,70,841,
50200 - RENAL BIOPSY PERQ,50200,CPT,,both,,,2989,2989,,173,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,289,,,,,,,fee schedule,,289,,,,,,,fee schedule,,661,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,582,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,529,,,,,,,fee schedule,,545,,,,,,,fee schedule,,1190,,,,,,,fee schedule,,150,2271,
503 - Foot procedures w MCC,503,MS-DRG,,inpatient,,,6826,6826,,164,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,164,4308,
50300 - REMOVE CADAVER DONOR KIDNEY,50300,CPT,,both,,,22415,22415,,23575,,,,,,,case rate,,28366,,,,,,,case rate,,22901,,,,,,,case rate,,22901,,,,,,,case rate,,32827,,,,,,,case rate,,32827,,,,,,,case rate,,24502,,,,,,,case rate,,15936,,,,,,,case rate,,  ,,,,,,,case rate,,21334,,,,,,,case rate,,21334,,,,,,,case rate,,21334,,,,,,,case rate,,21760,,,,,,,case rate,,21334,,,,,,,case rate,,21334,,,,,,,case rate,,21334,,,,,,,case rate,,19840,,,,,,,case rate,,21334,,,,,,,case rate,,21334,,,,,,,case rate,,21334,,,,,,,case rate,,21334,,,,,,,case rate,,21760,,,,,,,case rate,,22827,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15936,32827,
50320 - REMOVE KIDNEY LIVING DONOR,50320,CPT,,both,,,18222,18222,,27183,,,,,,,case rate,,32707,,,,,,,case rate,,26406,,,,,,,case rate,,26406,,,,,,,case rate,,37851,,,,,,,case rate,,37851,,,,,,,case rate,,28252,,,,,,,case rate,,18374,,,,,,,case rate,,  ,,,,,,,case rate,,24391,,,,,,,case rate,,24391,,,,,,,case rate,,24391,,,,,,,case rate,,24878,,,,,,,case rate,,24391,,,,,,,case rate,,24391,,,,,,,case rate,,24391,,,,,,,case rate,,22683,,,,,,,case rate,,24391,,,,,,,case rate,,24391,,,,,,,case rate,,24391,,,,,,,case rate,,24391,,,,,,,case rate,,24878,,,,,,,case rate,,26098,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18374,37851,
50389 - REMOVE RENAL TUBE W/FLUORO,50389,CPT,,both,,,1621,1621,,66,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,947,,,,,,,fee schedule,,947,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,558,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,642,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,58,1880,
50430 - NJX PX NFROSGRM &/URTRGRM,50430,CPT,,both,,,16702,16702,,24910,,,,,,,case rate,,29972,,,,,,,case rate,,24198,,,,,,,case rate,,24198,,,,,,,case rate,,34686,,,,,,,case rate,,34686,,,,,,,case rate,,25890,,,,,,,case rate,,16838,,,,,,,case rate,,  ,,,,,,,case rate,,22465,,,,,,,case rate,,22465,,,,,,,case rate,,22465,,,,,,,case rate,,22914,,,,,,,case rate,,22465,,,,,,,case rate,,22465,,,,,,,case rate,,22465,,,,,,,case rate,,20892,,,,,,,case rate,,22465,,,,,,,case rate,,22465,,,,,,,case rate,,22465,,,,,,,case rate,,22465,,,,,,,case rate,,22914,,,,,,,case rate,,24037,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16838,34686,
50433 - PLMT NEPHROURETERAL CATHETER,50433,CPT,,both,,,5246,5246,,331,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,331,4854,
50435 - EXCHANGE NEPHROSTOMY CATH,50435,CPT,,both,,,5403,5403,,124,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,124,4134,
505 - Foot procedures w/o CC/MCC,505,MS-DRG,,inpatient,,,372,372,,75,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,447,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,108,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,124,,,,,,,fee schedule,,357,,,,,,,fee schedule,,357,,,,,,,fee schedule,,357,,,,,,,fee schedule,,357,,,,,,,fee schedule,,357,,,,,,,fee schedule,,357,,,,,,,fee schedule,,393,,,,,,,fee schedule,,357,,,,,,,fee schedule,,357,,,,,,,fee schedule,,357,,,,,,,fee schedule,,368,,,,,,,fee schedule,,804,,,,,,,fee schedule,,51,804,
50593 - PERC CRYO ABLATE RENAL TUM,50593,CPT,,both,,,58174,58174,,58088,,,,,,,case rate,,69893,,,,,,,case rate,,56428,,,,,,,case rate,,56428,,,,,,,case rate,,80886,,,,,,,case rate,,80886,,,,,,,case rate,,60374,,,,,,,case rate,,39265,,,,,,,case rate,,  ,,,,,,,case rate,,50574,,,,,,,case rate,,50574,,,,,,,case rate,,50574,,,,,,,case rate,,51586,,,,,,,case rate,,50574,,,,,,,case rate,,50574,,,,,,,case rate,,50574,,,,,,,case rate,,47034,,,,,,,case rate,,50574,,,,,,,case rate,,50574,,,,,,,case rate,,50574,,,,,,,case rate,,50574,,,,,,,case rate,,51586,,,,,,,case rate,,54115,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39265,80886,
50693 - PLMT URETERAL STENT PRQ,50693,CPT,,both,,,7819,7819,,265,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2782,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2449,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,5008,,,,,,,fee schedule,,265,5008,
50700 - REVISION OF URETER,50700,CPT,,both,,,22884,22884,,25213,,,,,,,case rate,,30337,,,,,,,case rate,,24492,,,,,,,case rate,,24492,,,,,,,case rate,,35108,,,,,,,case rate,,35108,,,,,,,case rate,,26205,,,,,,,case rate,,17043,,,,,,,case rate,,  ,,,,,,,case rate,,22722,,,,,,,case rate,,22722,,,,,,,case rate,,22722,,,,,,,case rate,,23176,,,,,,,case rate,,22722,,,,,,,case rate,,22722,,,,,,,case rate,,22722,,,,,,,case rate,,21131,,,,,,,case rate,,22722,,,,,,,case rate,,22722,,,,,,,case rate,,22722,,,,,,,case rate,,22722,,,,,,,case rate,,23176,,,,,,,case rate,,24312,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17043,35108,
50706 - BALLOON DILATE URTRL STRIX,50706,CPT,,both,,,27303,27303,,24717,,,,,,,case rate,,29740,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,34417,,,,,,,case rate,,34417,,,,,,,case rate,,25689,,,,,,,case rate,,16707,,,,,,,case rate,,  ,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22747,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,20740,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22747,,,,,,,case rate,,23862,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16707,34417,
50947 - LAPARO NEW URETER/BLADDER,50947,CPT,,both,,,37831,37831,,49091,,,,,,,case rate,,59067,,,,,,,case rate,,47687,,,,,,,case rate,,47687,,,,,,,case rate,,68357,,,,,,,case rate,,68357,,,,,,,case rate,,51022,,,,,,,case rate,,33183,,,,,,,case rate,,  ,,,,,,,case rate,,42951,,,,,,,case rate,,42951,,,,,,,case rate,,42951,,,,,,,case rate,,43810,,,,,,,case rate,,42951,,,,,,,case rate,,42951,,,,,,,case rate,,42951,,,,,,,case rate,,39945,,,,,,,case rate,,42951,,,,,,,case rate,,42951,,,,,,,case rate,,42951,,,,,,,case rate,,42951,,,,,,,case rate,,43810,,,,,,,case rate,,45958,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33183,68357,
51102 - DRAIN BL W/CATH INSERTION,51102,CPT,,both,,,3035,3035,,176,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2782,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2449,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,5008,,,,,,,fee schedule,,176,5008,
"512 - Shoulder, elbow or forearm proc, exc major joint proc w/o CC/MCC",512,MS-DRG,,inpatient,,,2395,2395,,155,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,155,589,
515 - Other musculoskelet sys & conn tiss O.R. proc w MCC,515,MS-DRG,,inpatient,,,7690,7690,,754,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,754,4854,
516 - Other musculoskelet sys & conn tiss O.R. proc w CC,516,MS-DRG,,inpatient,,,3442,3442,,253,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,253,2172,
51600 - INJECTION FOR BLADDER X-RAY,51600,CPT,,both,,,,,,54,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,763,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,672,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,629,,,,,,,fee schedule,,1374,,,,,,,fee schedule,,50,4134,
517 - Other musculoskelet sys & conn tiss O.R. proc w/o CC/MCC,517,MS-DRG,,inpatient,,,243,243,,332,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,332,
51700 - IRRIGATION OF BLADDER,51700,CPT,,both,,,719,719,,55,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,559,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,192,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,221,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,492,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,461,,,,,,,fee schedule,,1007,,,,,,,fee schedule,,50,1880,
51701 - INSERT BLADDER CATHETER,51701,CPT,,both,,,227,227,,34,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,163,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,144,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,135,,,,,,,fee schedule,,294,,,,,,,fee schedule,,29,1880,
51702 - INSERT TEMP BLADDER CATH,51702,CPT,,both,,,625,625,,37,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,163,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,144,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,135,,,,,,,fee schedule,,294,,,,,,,fee schedule,,27,1880,
51703 - INSERT BLADDER CATH COMPLEX,51703,CPT,,both,,,379,379,,99,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,290,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,255,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,239,,,,,,,fee schedule,,522,,,,,,,fee schedule,,88,4134,
51705 - CHANGE OF BLADDER TUBE,51705,CPT,,both,,,1705,1705,,63,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,81,,,,,,,fee schedule,,81,,,,,,,fee schedule,,514,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,192,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,221,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,452,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,423,,,,,,,fee schedule,,925,,,,,,,fee schedule,,63,1880,
51710 - CHANGE OF BLADDER TUBE,51710,CPT,,both,,,1036,1036,,98,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,947,,,,,,,fee schedule,,947,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,623,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,558,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,642,,,,,,,fee schedule,,499,,,,,,,fee schedule,,499,,,,,,,fee schedule,,499,,,,,,,fee schedule,,499,,,,,,,fee schedule,,499,,,,,,,fee schedule,,499,,,,,,,fee schedule,,549,,,,,,,fee schedule,,499,,,,,,,fee schedule,,499,,,,,,,fee schedule,,499,,,,,,,fee schedule,,514,,,,,,,fee schedule,,1122,,,,,,,fee schedule,,98,4134,
51720 - TREATMENT OF BLADDER LESION,51720,CPT,,both,,,701,701,,97,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,947,,,,,,,fee schedule,,947,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,558,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,642,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,97,2424,
51725 - SIMPLE CYSTOMETROGRAM,51725,CPT,,both,,,139,139,,43,,,,,,,fee schedule,,147,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,86,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,35,155,
51728 - CYSTOMETROGRAM W/VP,51728,CPT,,both,,,276,276,,114,,,,,,,fee schedule,,192,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,123,,,,,,,fee schedule,,123,,,,,,,fee schedule,,112,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,202,
51741 - ELECTRO-UROFLOWMETRY FIRST,51741,CPT,,both,,,65,65,,5,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,5,83,
51798 - US URINE CAPACITY MEASURE,51798,CPT,,both,,,13223,13223,,18664,,,,,,,case rate,,22457,,,,,,,case rate,,18131,,,,,,,case rate,,18131,,,,,,,case rate,,25989,,,,,,,case rate,,25989,,,,,,,case rate,,19399,,,,,,,case rate,,12616,,,,,,,case rate,,  ,,,,,,,case rate,,17174,,,,,,,case rate,,17174,,,,,,,case rate,,17174,,,,,,,case rate,,17517,,,,,,,case rate,,17174,,,,,,,case rate,,17174,,,,,,,case rate,,17174,,,,,,,case rate,,15971,,,,,,,case rate,,17174,,,,,,,case rate,,17174,,,,,,,case rate,,17174,,,,,,,case rate,,17174,,,,,,,case rate,,17517,,,,,,,case rate,,18376,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12616,25989,
518 - Back & neck proc exc spinal fusion w MCC or disc device/neurosti,518,MS-DRG,,inpatient,,,427,427,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5721,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,5034,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4577,,,,,,,fee schedule,,4714,,,,,,,fee schedule,,10297,,,,,,,fee schedule,,4577,10297,
520 - Back & neck proc exc spinal fusion w/o CC/MCC,520,MS-DRG,,inpatient,,,510,510,,111,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,111,313,
52000 - CYSTOSCOPY,52000,CPT,,both,,,1499,1499,,154,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,947,,,,,,,fee schedule,,947,,,,,,,fee schedule,,158,,,,,,,fee schedule,,158,,,,,,,fee schedule,,1155,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,558,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,642,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,1016,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,952,,,,,,,fee schedule,,2079,,,,,,,fee schedule,,119,2079,
52005 - CYSTOSCOPY & URETER CATHETER,52005,CPT,,both,,,4451,4451,,162,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,141,2809,
521 - Hip replacement with principal diagnosis of hip fracture with MC,521,MS-DRG,,inpatient,,,7690,7690,,493,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,439,4854,
522 - Hip replacement with principal diagnosis of hip fracture w/o MCC,522,MS-DRG,,inpatient,,,497,497,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2310,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,2310,
52204 - CYSTOSCOPY W/BIOPSY(S),52204,CPT,,both,,,4451,4451,,173,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,142,2809,
52214 - CYSTOSCOPY AND TREATMENT,52214,CPT,,both,,,7690,7690,,214,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1155,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,1016,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,952,,,,,,,fee schedule,,2079,,,,,,,fee schedule,,214,4854,
52224 - CYSTOSCOPY AND TREATMENT,52224,CPT,,both,,,7690,7690,,248,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,184,4854,
52234 - CYSTOSCOPY AND TREATMENT,52234,CPT,,both,,,7690,7690,,300,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,269,4854,
52235 - CYSTOSCOPY AND TREATMENT,52235,CPT,,both,,,7690,7690,,352,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,316,4854,
52240 - CYSTOSCOPY AND TREATMENT,52240,CPT,,both,,,11282,11282,,478,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2782,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2449,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,5008,,,,,,,fee schedule,,478,7121,
52260 - CYSTOSCOPY AND TREATMENT,52260,CPT,,both,,,36632,36632,,29239,,,,,,,case rate,,35181,,,,,,,case rate,,28403,,,,,,,case rate,,28403,,,,,,,case rate,,40714,,,,,,,case rate,,40714,,,,,,,case rate,,30389,,,,,,,case rate,,19764,,,,,,,case rate,,  ,,,,,,,case rate,,26133,,,,,,,case rate,,26133,,,,,,,case rate,,26133,,,,,,,case rate,,26655,,,,,,,case rate,,26133,,,,,,,case rate,,26133,,,,,,,case rate,,26133,,,,,,,case rate,,24303,,,,,,,case rate,,26133,,,,,,,case rate,,26133,,,,,,,case rate,,26133,,,,,,,case rate,,26133,,,,,,,case rate,,26655,,,,,,,case rate,,27962,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19764,40714,
52276 - CYSTOSCOPY AND TREATMENT,52276,CPT,,both,,,4451,4451,,323,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2502,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2202,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2062,,,,,,,fee schedule,,4504,,,,,,,fee schedule,,295,4504,
52281 - CYSTOSCOPY AND TREATMENT,52281,CPT,,both,,,4451,4451,,186,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1347,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1110,,,,,,,fee schedule,,2424,,,,,,,fee schedule,,167,2809,
52287 - CYSTOSCOPY CHEMODENERVATION,52287,CPT,,both,,,4451,4451,,206,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1155,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,1016,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,952,,,,,,,fee schedule,,2079,,,,,,,fee schedule,,206,3535,
52310 - CYSTOSCOPY AND TREATMENT,52310,CPT,,both,,,5279,5279,,185,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1155,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,1016,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,952,,,,,,,fee schedule,,2079,,,,,,,fee schedule,,165,2809,
52315 - CYSTOSCOPY AND TREATMENT,52315,CPT,,both,,,5548,5548,,334,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2782,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2449,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2226,,,,,,,fee schedule,,2293,,,,,,,fee schedule,,5008,,,,,,,fee schedule,,303,5008,
52317 - REMOVE BLADDER STONE,52317,CPT,,both,,,7690,7690,,423,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2502,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2202,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2062,,,,,,,fee schedule,,4504,,,,,,,fee schedule,,387,4854,
52318 - REMOVE BLADDER STONE,52318,CPT,,both,,,7690,7690,,577,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2502,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2202,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2062,,,,,,,fee schedule,,4504,,,,,,,fee schedule,,527,4854,
52332 - CYSTOSCOPY AND TREATMENT,52332,CPT,,both,,,7690,7690,,190,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1155,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,1016,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,924,,,,,,,fee schedule,,952,,,,,,,fee schedule,,2079,,,,,,,fee schedule,,167,4854,
52344 - CYSTO/URETERO STRICTURE TX,52344,CPT,,both,,,32166,32166,,35074,,,,,,,case rate,,42203,,,,,,,case rate,,34072,,,,,,,case rate,,34072,,,,,,,case rate,,48840,,,,,,,case rate,,48840,,,,,,,case rate,,36454,,,,,,,case rate,,23709,,,,,,,case rate,,  ,,,,,,,case rate,,31077,,,,,,,case rate,,31077,,,,,,,case rate,,31077,,,,,,,case rate,,31698,,,,,,,case rate,,31077,,,,,,,case rate,,31077,,,,,,,case rate,,31077,,,,,,,case rate,,28901,,,,,,,case rate,,31077,,,,,,,case rate,,31077,,,,,,,case rate,,31077,,,,,,,case rate,,31077,,,,,,,case rate,,31698,,,,,,,case rate,,33252,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23709,48840,
52353 - CYSTOURETERO W/LITHOTRIPSY,52353,CPT,,both,,,11282,11282,,478,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,5835,,,,,,,fee schedule,,5835,,,,,,,fee schedule,,2502,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2202,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2002,,,,,,,fee schedule,,2062,,,,,,,fee schedule,,4504,,,,,,,fee schedule,,467,7121,
52356 - CYSTO/URETERO W/LITHOTRIPSY,52356,CPT,,both,,,11282,11282,,507,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,5835,,,,,,,fee schedule,,5835,,,,,,,fee schedule,,2627,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2312,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2165,,,,,,,fee schedule,,4729,,,,,,,fee schedule,,472,7121,
52601 - PROSTATECTOMY (TURP),52601,CPT,,both,,,11282,11282,,1029,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2991,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2719,,,,,,,fee schedule,,2801,,,,,,,fee schedule,,6118,,,,,,,fee schedule,,755,7121,
52630 - REMOVE PROSTATE REGROWTH,52630,CPT,,both,,,49860,49860,,44710,,,,,,,case rate,,53796,,,,,,,case rate,,43432,,,,,,,case rate,,43432,,,,,,,case rate,,62257,,,,,,,case rate,,62257,,,,,,,case rate,,46469,,,,,,,case rate,,30222,,,,,,,case rate,,  ,,,,,,,case rate,,39240,,,,,,,case rate,,39240,,,,,,,case rate,,39240,,,,,,,case rate,,40025,,,,,,,case rate,,39240,,,,,,,case rate,,39240,,,,,,,case rate,,39240,,,,,,,case rate,,36493,,,,,,,case rate,,39240,,,,,,,case rate,,39240,,,,,,,case rate,,39240,,,,,,,case rate,,39240,,,,,,,case rate,,40025,,,,,,,case rate,,41987,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30222,62257,
52640 - RELIEVE BLADDER CONTRACTURE,52640,CPT,,both,,,28147,28147,,35040,,,,,,,case rate,,42161,,,,,,,case rate,,34038,,,,,,,case rate,,34038,,,,,,,case rate,,48792,,,,,,,case rate,,48792,,,,,,,case rate,,36418,,,,,,,case rate,,23686,,,,,,,case rate,,  ,,,,,,,case rate,,31047,,,,,,,case rate,,31047,,,,,,,case rate,,31047,,,,,,,case rate,,31668,,,,,,,case rate,,31047,,,,,,,case rate,,31047,,,,,,,case rate,,31047,,,,,,,case rate,,28874,,,,,,,case rate,,31047,,,,,,,case rate,,31047,,,,,,,case rate,,31047,,,,,,,case rate,,31047,,,,,,,case rate,,31668,,,,,,,case rate,,33221,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23686,48792,
52648 - LASER SURGERY OF PROSTATE,52648,CPT,,both,,,73900,73900,,45247,,,,,,,case rate,,54442,,,,,,,case rate,,43954,,,,,,,case rate,,43954,,,,,,,case rate,,63005,,,,,,,case rate,,63005,,,,,,,case rate,,47027,,,,,,,case rate,,30585,,,,,,,case rate,,  ,,,,,,,case rate,,39695,,,,,,,case rate,,39695,,,,,,,case rate,,39695,,,,,,,case rate,,40489,,,,,,,case rate,,39695,,,,,,,case rate,,39695,,,,,,,case rate,,39695,,,,,,,case rate,,36916,,,,,,,case rate,,39695,,,,,,,case rate,,39695,,,,,,,case rate,,39695,,,,,,,case rate,,39695,,,,,,,case rate,,40489,,,,,,,case rate,,42474,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30585,63005,
53020 - INCISION OF URETHRA,53020,CPT,,both,,,28804,28804,,29099,,,,,,,case rate,,35013,,,,,,,case rate,,28267,,,,,,,case rate,,28267,,,,,,,case rate,,40520,,,,,,,case rate,,40520,,,,,,,case rate,,30244,,,,,,,case rate,,19670,,,,,,,case rate,,  ,,,,,,,case rate,,26014,,,,,,,case rate,,26014,,,,,,,case rate,,26014,,,,,,,case rate,,26534,,,,,,,case rate,,26014,,,,,,,case rate,,26014,,,,,,,case rate,,26014,,,,,,,case rate,,24193,,,,,,,case rate,,26014,,,,,,,case rate,,26014,,,,,,,case rate,,26014,,,,,,,case rate,,26014,,,,,,,case rate,,26534,,,,,,,case rate,,27835,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19670,40520,
53260 - TREATMENT OF URETHRA LESION,53260,CPT,,both,,,3900,3900,,34675,,,,,,,case rate,,41723,,,,,,,case rate,,33684,,,,,,,case rate,,33684,,,,,,,case rate,,48285,,,,,,,case rate,,48285,,,,,,,case rate,,36040,,,,,,,case rate,,23439,,,,,,,case rate,,  ,,,,,,,case rate,,30739,,,,,,,case rate,,30739,,,,,,,case rate,,30739,,,,,,,case rate,,31353,,,,,,,case rate,,30739,,,,,,,case rate,,30739,,,,,,,case rate,,30739,,,,,,,case rate,,28587,,,,,,,case rate,,30739,,,,,,,case rate,,30739,,,,,,,case rate,,30739,,,,,,,case rate,,30739,,,,,,,case rate,,31353,,,,,,,case rate,,32890,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23439,48285,
53400 - REVISE URETHRA STAGE 1,53400,CPT,,both,,,24328,24328,,45355,,,,,,,case rate,,54573,,,,,,,case rate,,44059,,,,,,,case rate,,44059,,,,,,,case rate,,63156,,,,,,,case rate,,63156,,,,,,,case rate,,47140,,,,,,,case rate,,30658,,,,,,,case rate,,  ,,,,,,,case rate,,39787,,,,,,,case rate,,39787,,,,,,,case rate,,39787,,,,,,,case rate,,40583,,,,,,,case rate,,39787,,,,,,,case rate,,39787,,,,,,,case rate,,39787,,,,,,,case rate,,37002,,,,,,,case rate,,39787,,,,,,,case rate,,39787,,,,,,,case rate,,39787,,,,,,,case rate,,39787,,,,,,,case rate,,40583,,,,,,,case rate,,42572,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30658,63156,
53445 - INSERT URO/VES NCK SPHINCTER,53445,CPT,,both,,,46265,46265,,916,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3196,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,17210,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,19801,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2813,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2557,,,,,,,fee schedule,,2634,,,,,,,fee schedule,,5753,,,,,,,fee schedule,,916,29198,
53450 - REVISION OF URETHRA,53450,CPT,,both,,,14836,14836,,35115,,,,,,,case rate,,42252,,,,,,,case rate,,34111,,,,,,,case rate,,34111,,,,,,,case rate,,48897,,,,,,,case rate,,48897,,,,,,,case rate,,36497,,,,,,,case rate,,23737,,,,,,,case rate,,  ,,,,,,,case rate,,31111,,,,,,,case rate,,31111,,,,,,,case rate,,31111,,,,,,,case rate,,31733,,,,,,,case rate,,31111,,,,,,,case rate,,31111,,,,,,,case rate,,31111,,,,,,,case rate,,28933,,,,,,,case rate,,31111,,,,,,,case rate,,31111,,,,,,,case rate,,31111,,,,,,,case rate,,31111,,,,,,,case rate,,31733,,,,,,,case rate,,33289,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23737,48897,
53460 - REVISION OF URETHRA,53460,CPT,,both,,,41997,41997,,35544,,,,,,,case rate,,42768,,,,,,,case rate,,34528,,,,,,,case rate,,34528,,,,,,,case rate,,49494,,,,,,,case rate,,49494,,,,,,,case rate,,36942,,,,,,,case rate,,24026,,,,,,,case rate,,  ,,,,,,,case rate,,31475,,,,,,,case rate,,31475,,,,,,,case rate,,31475,,,,,,,case rate,,32104,,,,,,,case rate,,31475,,,,,,,case rate,,31475,,,,,,,case rate,,31475,,,,,,,case rate,,29271,,,,,,,case rate,,31475,,,,,,,case rate,,31475,,,,,,,case rate,,31475,,,,,,,case rate,,31475,,,,,,,case rate,,32104,,,,,,,case rate,,33678,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24026,49494,
536 - Fractures of hip & pelvis w/o MCC,536,MS-DRG,,inpatient,,,51,51,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,20,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,18,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,20,,,,,,,fee schedule,,21,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,31,
53600 - DILATE URETHRA STRICTURE,53600,CPT,,both,,,15952,15952,,19415,,,,,,,case rate,,23361,,,,,,,case rate,,18860,,,,,,,case rate,,18860,,,,,,,case rate,,27035,,,,,,,case rate,,27035,,,,,,,case rate,,20179,,,,,,,case rate,,13124,,,,,,,case rate,,  ,,,,,,,case rate,,17810,,,,,,,case rate,,17810,,,,,,,case rate,,17810,,,,,,,case rate,,18166,,,,,,,case rate,,17810,,,,,,,case rate,,17810,,,,,,,case rate,,17810,,,,,,,case rate,,16563,,,,,,,case rate,,17810,,,,,,,case rate,,17810,,,,,,,case rate,,17810,,,,,,,case rate,,17810,,,,,,,case rate,,18166,,,,,,,case rate,,19056,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13124,27035,
53605 - DILATE URETHRA STRICTURE,53605,CPT,,both,,,28696,28696,,34507,,,,,,,case rate,,41520,,,,,,,case rate,,33521,,,,,,,case rate,,33521,,,,,,,case rate,,48051,,,,,,,case rate,,48051,,,,,,,case rate,,35865,,,,,,,case rate,,23326,,,,,,,case rate,,  ,,,,,,,case rate,,30596,,,,,,,case rate,,30596,,,,,,,case rate,,30596,,,,,,,case rate,,31208,,,,,,,case rate,,30596,,,,,,,case rate,,30596,,,,,,,case rate,,30596,,,,,,,case rate,,28454,,,,,,,case rate,,30596,,,,,,,case rate,,30596,,,,,,,case rate,,30596,,,,,,,case rate,,30596,,,,,,,case rate,,31208,,,,,,,case rate,,32738,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23326,48051,
53660 - DILATION OF URETHRA,53660,CPT,,both,,,15816,15816,,16178,,,,,,,case rate,,19465,,,,,,,case rate,,15715,,,,,,,case rate,,15715,,,,,,,case rate,,22527,,,,,,,case rate,,22527,,,,,,,case rate,,16814,,,,,,,case rate,,10935,,,,,,,case rate,,  ,,,,,,,case rate,,15067,,,,,,,case rate,,15067,,,,,,,case rate,,15067,,,,,,,case rate,,15368,,,,,,,case rate,,15067,,,,,,,case rate,,15067,,,,,,,case rate,,15067,,,,,,,case rate,,14012,,,,,,,case rate,,15067,,,,,,,case rate,,15067,,,,,,,case rate,,15067,,,,,,,case rate,,15067,,,,,,,case rate,,15368,,,,,,,case rate,,16122,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10935,22527,
539 - Osteomyelitis w MCC,539,MS-DRG,,inpatient,,,3439,3439,,400,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1363,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,400,2010,
540 - Osteomyelitis w CC,540,MS-DRG,,inpatient,,,153,153,,42,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,10,253,
54065 - DESTRUCTION PENIS LESION(S),54065,CPT,,both,,,30489,30489,,28585,,,,,,,case rate,,34395,,,,,,,case rate,,27768,,,,,,,case rate,,27768,,,,,,,case rate,,39804,,,,,,,case rate,,39804,,,,,,,case rate,,29710,,,,,,,case rate,,19323,,,,,,,case rate,,  ,,,,,,,case rate,,25579,,,,,,,case rate,,25579,,,,,,,case rate,,25579,,,,,,,case rate,,26091,,,,,,,case rate,,25579,,,,,,,case rate,,25579,,,,,,,case rate,,25579,,,,,,,case rate,,23788,,,,,,,case rate,,25579,,,,,,,case rate,,25579,,,,,,,case rate,,25579,,,,,,,case rate,,25579,,,,,,,case rate,,26091,,,,,,,case rate,,27370,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19323,39804,
541 - Osteomyelitis w/o CC/MCC,541,MS-DRG,,inpatient,,,137,137,,51,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,51,
54161 - CIRCUM 28 DAYS OR OLDER,54161,CPT,,both,,,4451,4451,,232,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,408,,,,,,,fee schedule,,408,,,,,,,fee schedule,,1726,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1519,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1381,,,,,,,fee schedule,,1422,,,,,,,fee schedule,,3107,,,,,,,fee schedule,,225,3107,
54163 - REPAIR OF CIRCUMCISION,54163,CPT,,both,,,4451,4451,,258,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1330,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1245,,,,,,,fee schedule,,2720,,,,,,,fee schedule,,222,2809,
542 - Pathological fractures & musculoskelet & conn tiss malig w MCC,542,MS-DRG,,inpatient,,,,,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1010,1112,
54220 - TREATMENT OF PENIS LESION,54220,CPT,,both,,,286,286,,159,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,450,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,192,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,221,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,396,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,360,,,,,,,fee schedule,,371,,,,,,,fee schedule,,810,,,,,,,fee schedule,,148,1880,
54235 - PENILE INJECTION,54235,CPT,,both,,,1063,1063,,87,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1483,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,192,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,221,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1305,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,1222,,,,,,,fee schedule,,2670,,,,,,,fee schedule,,68,2670,
543 - Pathological fractures & musculoskelet & conn tiss malig w CC,543,MS-DRG,,inpatient,,,,,,98,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,98,145,
54300 - REVISION OF PENIS,54300,CPT,,both,,,29817,29817,,35788,,,,,,,case rate,,43061,,,,,,,case rate,,34765,,,,,,,case rate,,34765,,,,,,,case rate,,49833,,,,,,,case rate,,49833,,,,,,,case rate,,37196,,,,,,,case rate,,24191,,,,,,,case rate,,  ,,,,,,,case rate,,31681,,,,,,,case rate,,31681,,,,,,,case rate,,31681,,,,,,,case rate,,32314,,,,,,,case rate,,31681,,,,,,,case rate,,31681,,,,,,,case rate,,31681,,,,,,,case rate,,29463,,,,,,,case rate,,31681,,,,,,,case rate,,31681,,,,,,,case rate,,31681,,,,,,,case rate,,31681,,,,,,,case rate,,32314,,,,,,,case rate,,33898,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24191,49833,
54328 - REVISE PENIS/URETHRA,54328,CPT,,both,,,29003,29003,,36427,,,,,,,case rate,,43830,,,,,,,case rate,,35386,,,,,,,case rate,,35386,,,,,,,case rate,,50723,,,,,,,case rate,,50723,,,,,,,case rate,,37860,,,,,,,case rate,,24623,,,,,,,case rate,,  ,,,,,,,case rate,,32222,,,,,,,case rate,,32222,,,,,,,case rate,,32222,,,,,,,case rate,,32867,,,,,,,case rate,,32222,,,,,,,case rate,,32222,,,,,,,case rate,,32222,,,,,,,case rate,,29967,,,,,,,case rate,,32222,,,,,,,case rate,,32222,,,,,,,case rate,,32222,,,,,,,case rate,,32222,,,,,,,case rate,,32867,,,,,,,case rate,,34478,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24623,50723,
54360 - PENIS PLASTIC SURGERY,54360,CPT,,both,,,32004,32004,,36408,,,,,,,case rate,,43807,,,,,,,case rate,,35367,,,,,,,case rate,,35367,,,,,,,case rate,,50697,,,,,,,case rate,,50697,,,,,,,case rate,,37840,,,,,,,case rate,,24610,,,,,,,case rate,,  ,,,,,,,case rate,,32206,,,,,,,case rate,,32206,,,,,,,case rate,,32206,,,,,,,case rate,,32851,,,,,,,case rate,,32206,,,,,,,case rate,,32206,,,,,,,case rate,,32206,,,,,,,case rate,,29952,,,,,,,case rate,,32206,,,,,,,case rate,,32206,,,,,,,case rate,,32206,,,,,,,case rate,,32206,,,,,,,case rate,,32851,,,,,,,case rate,,34461,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24610,50697,
544 - Pathologic fractures & musculoskelet & conn tiss malig w/o CC/MC,544,MS-DRG,,inpatient,,,1125,1125,,13,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13,24,
54401 - INSERT SELF-CONTD PROSTHESIS,54401,CPT,,both,,,46265,46265,,774,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6647,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,17210,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,19801,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5849,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5477,,,,,,,fee schedule,,11965,,,,,,,fee schedule,,726,29198,
54405 - INSERT MULTI-COMP PENIS PROS,54405,CPT,,both,,,44347,44347,,63740,,,,,,,case rate,,76694,,,,,,,case rate,,61918,,,,,,,case rate,,61918,,,,,,,case rate,,88756,,,,,,,case rate,,88756,,,,,,,case rate,,66248,,,,,,,case rate,,43086,,,,,,,case rate,,  ,,,,,,,case rate,,55363,,,,,,,case rate,,55363,,,,,,,case rate,,55363,,,,,,,case rate,,56470,,,,,,,case rate,,55363,,,,,,,case rate,,55363,,,,,,,case rate,,55363,,,,,,,case rate,,51487,,,,,,,case rate,,55363,,,,,,,case rate,,55363,,,,,,,case rate,,55363,,,,,,,case rate,,55363,,,,,,,case rate,,56470,,,,,,,case rate,,59238,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,43086,88756,
54410 - REMOVE/REPLACE PENIS PROSTH,54410,CPT,,both,,,49214,49214,,64367,,,,,,,case rate,,77448,,,,,,,case rate,,62527,,,,,,,case rate,,62527,,,,,,,case rate,,89629,,,,,,,case rate,,89629,,,,,,,case rate,,66899,,,,,,,case rate,,43509,,,,,,,case rate,,  ,,,,,,,case rate,,55894,,,,,,,case rate,,55894,,,,,,,case rate,,55894,,,,,,,case rate,,57011,,,,,,,case rate,,55894,,,,,,,case rate,,55894,,,,,,,case rate,,55894,,,,,,,case rate,,51981,,,,,,,case rate,,55894,,,,,,,case rate,,55894,,,,,,,case rate,,55894,,,,,,,case rate,,55894,,,,,,,case rate,,57011,,,,,,,case rate,,59806,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,43509,89629,
54411 - REMOV/REPLC PENIS PROS COMP,54411,CPT,,both,,,46265,46265,,1205,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6647,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,17210,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,19801,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5849,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5318,,,,,,,fee schedule,,5477,,,,,,,fee schedule,,11965,,,,,,,fee schedule,,1068,29198,
54437 - REPAIR CORPOREAL TEAR,54437,CPT,,both,,,162457,162457,,36399,,,,,,,case rate,,43796,,,,,,,case rate,,35358,,,,,,,case rate,,35358,,,,,,,case rate,,50684,,,,,,,case rate,,50684,,,,,,,case rate,,37831,,,,,,,case rate,,24604,,,,,,,case rate,,  ,,,,,,,case rate,,32198,,,,,,,case rate,,32198,,,,,,,case rate,,32198,,,,,,,case rate,,32842,,,,,,,case rate,,32198,,,,,,,case rate,,32198,,,,,,,case rate,,32198,,,,,,,case rate,,29945,,,,,,,case rate,,32198,,,,,,,case rate,,32198,,,,,,,case rate,,32198,,,,,,,case rate,,32198,,,,,,,case rate,,32842,,,,,,,case rate,,34452,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24604,50684,
54440 - REPAIR OF PENIS,54440,CPT,,both,,,39907,39907,,35777,,,,,,,case rate,,43047,,,,,,,case rate,,34754,,,,,,,case rate,,34754,,,,,,,case rate,,49818,,,,,,,case rate,,49818,,,,,,,case rate,,37184,,,,,,,case rate,,24184,,,,,,,case rate,,  ,,,,,,,case rate,,31671,,,,,,,case rate,,31671,,,,,,,case rate,,31671,,,,,,,case rate,,32305,,,,,,,case rate,,31671,,,,,,,case rate,,31671,,,,,,,case rate,,31671,,,,,,,case rate,,29454,,,,,,,case rate,,31671,,,,,,,case rate,,31671,,,,,,,case rate,,31671,,,,,,,case rate,,31671,,,,,,,case rate,,32305,,,,,,,case rate,,33888,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24184,49818,
545 - Connective tissue disorders w MCC,545,MS-DRG,,inpatient,,,6198,6198,,286,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,239,3912,
54512 - EXCISE LESION TESTIS,54512,CPT,,both,,,7690,7690,,636,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1655,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,567,4854,
546 - Connective tissue disorders w CC,546,MS-DRG,,inpatient,,,179,179,,8,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,80,,,,,,,fee schedule,,122,,,,,,,fee schedule,,110,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,70,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,143,,,,,,,fee schedule,,2,186,
54600 - REDUCE TESTIS TORSION,54600,CPT,,both,,,7690,7690,,537,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1655,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,4854,
54640 - ORCHIOPEXY INGUN/SCROT APPR,54640,CPT,,both,,,8498,8498,,568,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,5364,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1655,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3161,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3399,,,,,,,fee schedule,,3467,,,,,,,fee schedule,,3637,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1456,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1364,,,,,,,fee schedule,,2979,,,,,,,fee schedule,,474,5364,
54660 - REVISION OF TESTIS,54660,CPT,,both,,,39820,39820,,44127,,,,,,,case rate,,53095,,,,,,,case rate,,42866,,,,,,,case rate,,42866,,,,,,,case rate,,61446,,,,,,,case rate,,61446,,,,,,,case rate,,45863,,,,,,,case rate,,29828,,,,,,,case rate,,  ,,,,,,,case rate,,38746,,,,,,,case rate,,38746,,,,,,,case rate,,38746,,,,,,,case rate,,39521,,,,,,,case rate,,38746,,,,,,,case rate,,38746,,,,,,,case rate,,38746,,,,,,,case rate,,36034,,,,,,,case rate,,38746,,,,,,,case rate,,38746,,,,,,,case rate,,38746,,,,,,,case rate,,38746,,,,,,,case rate,,39521,,,,,,,case rate,,41458,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29828,61446,
547 - Connective tissue disorders w/o CC/MCC,547,MS-DRG,,inpatient,,,345,345,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,27,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,24,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,27,,,,,,,fee schedule,,28,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,41,
54860 - REMOVAL OF EPIDIDYMIS,54860,CPT,,both,,,24210,24210,,35062,,,,,,,case rate,,42187,,,,,,,case rate,,34060,,,,,,,case rate,,34060,,,,,,,case rate,,48823,,,,,,,case rate,,48823,,,,,,,case rate,,36441,,,,,,,case rate,,23700,,,,,,,case rate,,  ,,,,,,,case rate,,31066,,,,,,,case rate,,31066,,,,,,,case rate,,31066,,,,,,,case rate,,31687,,,,,,,case rate,,31066,,,,,,,case rate,,31066,,,,,,,case rate,,31066,,,,,,,case rate,,28891,,,,,,,case rate,,31066,,,,,,,case rate,,31066,,,,,,,case rate,,31066,,,,,,,case rate,,31066,,,,,,,case rate,,31687,,,,,,,case rate,,33241,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23700,48823,
549 - Septic arthritis w CC,549,MS-DRG,,inpatient,,,281,281,,43,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,43,195,
551 - Medical back problems w MCC,551,MS-DRG,,inpatient,,,881,881,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,294,804,
55100 - DRAINAGE OF SCROTUM ABSCESS,55100,CPT,,both,,,4013,4013,,198,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,198,2271,
55150 - REMOVAL OF SCROTUM,55150,CPT,,both,,,43069,43069,,35422,,,,,,,case rate,,42620,,,,,,,case rate,,34409,,,,,,,case rate,,34409,,,,,,,case rate,,49324,,,,,,,case rate,,49324,,,,,,,case rate,,36815,,,,,,,case rate,,23944,,,,,,,case rate,,  ,,,,,,,case rate,,31371,,,,,,,case rate,,31371,,,,,,,case rate,,31371,,,,,,,case rate,,31998,,,,,,,case rate,,31371,,,,,,,case rate,,31371,,,,,,,case rate,,31371,,,,,,,case rate,,29175,,,,,,,case rate,,31371,,,,,,,case rate,,31371,,,,,,,case rate,,31371,,,,,,,case rate,,31371,,,,,,,case rate,,31998,,,,,,,case rate,,33567,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23944,49324,
55175 - REVISION OF SCROTUM,55175,CPT,,both,,,45470,45470,,34694,,,,,,,case rate,,41745,,,,,,,case rate,,33703,,,,,,,case rate,,33703,,,,,,,case rate,,48311,,,,,,,case rate,,48311,,,,,,,case rate,,36059,,,,,,,case rate,,23452,,,,,,,case rate,,  ,,,,,,,case rate,,30755,,,,,,,case rate,,30755,,,,,,,case rate,,30755,,,,,,,case rate,,31370,,,,,,,case rate,,30755,,,,,,,case rate,,30755,,,,,,,case rate,,30755,,,,,,,case rate,,28602,,,,,,,case rate,,30755,,,,,,,case rate,,30755,,,,,,,case rate,,30755,,,,,,,case rate,,30755,,,,,,,case rate,,31370,,,,,,,case rate,,32907,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23452,48311,
552 - Medical back problems w/o MCC,552,MS-DRG,,inpatient,,,627,627,,63,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,97,
55250 - REMOVAL OF SPERM DUCT(S),55250,CPT,,both,,,7486,7486,,268,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1879,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1654,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1504,,,,,,,fee schedule,,1549,,,,,,,fee schedule,,3383,,,,,,,fee schedule,,268,3383,
553 - Bone diseases & arthropathies w MCC,553,MS-DRG,,inpatient,,,595,595,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,260,,,,,,,fee schedule,,260,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,165,,,,,,,fee schedule,,165,,,,,,,fee schedule,,165,,,,,,,fee schedule,,168,,,,,,,fee schedule,,165,,,,,,,fee schedule,,165,,,,,,,fee schedule,,165,,,,,,,fee schedule,,153,,,,,,,fee schedule,,165,,,,,,,fee schedule,,165,,,,,,,fee schedule,,165,,,,,,,fee schedule,,165,,,,,,,fee schedule,,168,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,153,260,
554 - Bone diseases & arthropathies w/o MCC,554,MS-DRG,,inpatient,,,309,309,,23,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,23,43,
555 - Signs & symptoms of musculoskeletal system & conn tissue w MCC,555,MS-DRG,,inpatient,,,236,236,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,283,,,,,,,fee schedule,,283,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,179,,,,,,,fee schedule,,179,,,,,,,fee schedule,,179,,,,,,,fee schedule,,183,,,,,,,fee schedule,,179,,,,,,,fee schedule,,179,,,,,,,fee schedule,,179,,,,,,,fee schedule,,167,,,,,,,fee schedule,,179,,,,,,,fee schedule,,179,,,,,,,fee schedule,,179,,,,,,,fee schedule,,179,,,,,,,fee schedule,,183,,,,,,,fee schedule,,192,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,167,283,
55530 - REVISE SPERMATIC CORD VEINS,55530,CPT,,both,,,7690,7690,,415,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1655,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1456,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1324,,,,,,,fee schedule,,1364,,,,,,,fee schedule,,2979,,,,,,,fee schedule,,395,4854,
556 - Signs & symptoms of musculoskeletal system & conn tissue w/o MCC,556,MS-DRG,,inpatient,,,183,183,,48,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,48,107,
"557 - Tendonitis, myositis & bursitis w MCC",557,MS-DRG,,inpatient,,,521,521,,138,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,78,401,
55700 - BIOPSY OF PROSTATE,55700,CPT,,both,,,2485,2485,,164,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1533,,,,,,,fee schedule,,1211,,,,,,,fee schedule,,1089,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1349,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1226,,,,,,,fee schedule,,1263,,,,,,,fee schedule,,2759,,,,,,,fee schedule,,99,4134,
"558 - Tendonitis, myositis & bursitis w/o MCC",558,MS-DRG,,inpatient,,,,,,31,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,31,59,
55821 - REMOVAL OF PROSTATE,55821,CPT,,both,,,31548,31548,,25131,,,,,,,case rate,,30239,,,,,,,case rate,,24413,,,,,,,case rate,,24413,,,,,,,case rate,,34995,,,,,,,case rate,,34995,,,,,,,case rate,,26120,,,,,,,case rate,,16988,,,,,,,case rate,,  ,,,,,,,case rate,,22653,,,,,,,case rate,,22653,,,,,,,case rate,,22653,,,,,,,case rate,,23106,,,,,,,case rate,,22653,,,,,,,case rate,,22653,,,,,,,case rate,,22653,,,,,,,case rate,,21067,,,,,,,case rate,,22653,,,,,,,case rate,,22653,,,,,,,case rate,,22653,,,,,,,case rate,,22653,,,,,,,case rate,,23106,,,,,,,case rate,,24238,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16988,34995,
55831 - REMOVAL OF PROSTATE,55831,CPT,,both,,,20403,20403,,25183,,,,,,,case rate,,30301,,,,,,,case rate,,24463,,,,,,,case rate,,24463,,,,,,,case rate,,35067,,,,,,,case rate,,35067,,,,,,,case rate,,26174,,,,,,,case rate,,17023,,,,,,,case rate,,  ,,,,,,,case rate,,22696,,,,,,,case rate,,22696,,,,,,,case rate,,22696,,,,,,,case rate,,23150,,,,,,,case rate,,22696,,,,,,,case rate,,22696,,,,,,,case rate,,22696,,,,,,,case rate,,21108,,,,,,,case rate,,22696,,,,,,,case rate,,22696,,,,,,,case rate,,22696,,,,,,,case rate,,22696,,,,,,,case rate,,23150,,,,,,,case rate,,24285,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17023,35067,
55866 - LAPS SURG PRST8ECT RPBIC RAD,55866,CPT,,both,,,21804,21804,,1655,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4066,,,,,,,fee schedule,,3024,,,,,,,fee schedule,,2722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8111,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,9332,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3578,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3350,,,,,,,fee schedule,,7318,,,,,,,fee schedule,,1655,13761,
"559 - Aftercare, musculoskeletal system & connective tissue w MCC",559,MS-DRG,,inpatient,,,1418,1418,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,327,,,,,,,fee schedule,,327,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,211,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,193,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,211,,,,,,,fee schedule,,222,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,621,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,582,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,38,1271,
"560 - Aftercare, musculoskeletal system & connective tissue w CC",560,MS-DRG,,inpatient,,,267,267,,23,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,23,162,
"561 - Aftercare, musculoskeletal system & connective tissue w/o CC/MCC",561,MS-DRG,,inpatient,,,65,65,,15,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,15,28,
"562 - Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC",562,MS-DRG,,inpatient,,,627,627,,57,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,196,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,354,,,,,,,fee schedule,,35,378,
"563 - Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC",563,MS-DRG,,inpatient,,,127,127,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,39,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,44,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,39,66,
564 - Other musculoskeletal sys & connective tissue diagnoses w MCC,564,MS-DRG,,inpatient,,,240,240,,43,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,43,412,
56405 - I & D OF VULVA/PERINEUM,56405,CPT,,both,,,605,605,,134,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,442,,,,,,,fee schedule,,442,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,261,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,300,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,120,1965,
56420 - DRAINAGE OF GLAND ABSCESS,56420,CPT,,both,,,382,382,,113,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,378,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,354,,,,,,,fee schedule,,774,,,,,,,fee schedule,,113,1880,
56440 - SURGERY FOR VULVA LESION,56440,CPT,,both,,,6784,6784,,225,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1229,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1117,,,,,,,fee schedule,,1151,,,,,,,fee schedule,,2514,,,,,,,fee schedule,,225,4282,
56441 - LYSIS OF LABIAL LESION(S),56441,CPT,,both,,,6784,6784,,171,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1498,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1318,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1234,,,,,,,fee schedule,,2696,,,,,,,fee schedule,,169,4282,
565 - Other musculoskeletal sys & connective tissue diagnoses w CC,565,MS-DRG,,inpatient,,,369,369,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
56501 - DESTROY VULVA LESIONS SIM,56501,CPT,,both,,,4141,4141,,143,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1498,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1318,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1234,,,,,,,fee schedule,,2696,,,,,,,fee schedule,,127,2696,
566 - Other musculoskeletal sys & connective tissue diag w/o CC/MCC,566,MS-DRG,,inpatient,,,124,124,,21,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21,50,
56605 - BIOPSY OF VULVA/PERINEUM,56605,CPT,,both,,,679,679,,75,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,628,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,722,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,70,1880,
56606 - BIOPSY OF VULVA/PERINEUM,56606,CPT,,both,,,615,615,,37,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,811,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,35,4134,
56620 - PARTIAL REMOVAL OF VULVA,56620,CPT,,both,,,6784,6784,,660,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2684,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2362,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2147,,,,,,,fee schedule,,2211,,,,,,,fee schedule,,4830,,,,,,,fee schedule,,553,4830,
56810 - REPAIR OF PERINEUM,56810,CPT,,both,,,6784,6784,,322,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1141,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1069,,,,,,,fee schedule,,2334,,,,,,,fee schedule,,307,4282,
56820 - EXAM OF VULVA W/SCOPE,56820,CPT,,both,,,1746,1746,,109,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,465,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,410,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,384,,,,,,,fee schedule,,838,,,,,,,fee schedule,,93,1880,
56821 - EXAM/BIOPSY OF VULVA W/SCOPE,56821,CPT,,both,,,1983,1983,,145,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,442,,,,,,,fee schedule,,442,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,612,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,261,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,300,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,538,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,504,,,,,,,fee schedule,,1101,,,,,,,fee schedule,,128,4134,
570 - Skin debridement w MCC,570,MS-DRG,,inpatient,,,6086,6086,,129,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,129,4511,
571 - Skin debridement w CC,571,MS-DRG,,inpatient,,,1341,1341,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,772,,,,,,,fee schedule,,772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,489,,,,,,,fee schedule,,489,,,,,,,fee schedule,,489,,,,,,,fee schedule,,499,,,,,,,fee schedule,,489,,,,,,,fee schedule,,489,,,,,,,fee schedule,,489,,,,,,,fee schedule,,455,,,,,,,fee schedule,,489,,,,,,,fee schedule,,489,,,,,,,fee schedule,,489,,,,,,,fee schedule,,489,,,,,,,fee schedule,,499,,,,,,,fee schedule,,523,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,772,
57100 - BIOPSY OF VAGINA,57100,CPT,,both,,,1330,1330,,84,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1498,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,628,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,722,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1318,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1234,,,,,,,fee schedule,,2696,,,,,,,fee schedule,,75,4134,
57120 - CLOSURE OF VAGINA,57120,CPT,,both,,,38195,38195,,42471,,,,,,,case rate,,51103,,,,,,,case rate,,41257,,,,,,,case rate,,41257,,,,,,,case rate,,59140,,,,,,,case rate,,59140,,,,,,,case rate,,44142,,,,,,,case rate,,28709,,,,,,,case rate,,  ,,,,,,,case rate,,37343,,,,,,,case rate,,37343,,,,,,,case rate,,37343,,,,,,,case rate,,38090,,,,,,,case rate,,37343,,,,,,,case rate,,37343,,,,,,,case rate,,37343,,,,,,,case rate,,34729,,,,,,,case rate,,37343,,,,,,,case rate,,37343,,,,,,,case rate,,37343,,,,,,,case rate,,37343,,,,,,,case rate,,38090,,,,,,,case rate,,39957,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28709,59140,
57160 - INSERT PESSARY/OTHER DEVICE,57160,CPT,,both,,,203,203,,58,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,341,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,300,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,281,,,,,,,fee schedule,,614,,,,,,,fee schedule,,58,4134,
572 - Skin debridement w/o CC/MCC,572,MS-DRG,,inpatient,,,300,300,,28,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,28,162,
57220 - REVISION OF URETHRA,57220,CPT,,both,,,29649,29649,,42277,,,,,,,case rate,,50868,,,,,,,case rate,,41068,,,,,,,case rate,,41068,,,,,,,case rate,,58869,,,,,,,case rate,,58869,,,,,,,case rate,,43940,,,,,,,case rate,,28577,,,,,,,case rate,,  ,,,,,,,case rate,,37178,,,,,,,case rate,,37178,,,,,,,case rate,,37178,,,,,,,case rate,,37922,,,,,,,case rate,,37178,,,,,,,case rate,,37178,,,,,,,case rate,,37178,,,,,,,case rate,,34576,,,,,,,case rate,,37178,,,,,,,case rate,,37178,,,,,,,case rate,,37178,,,,,,,case rate,,37178,,,,,,,case rate,,37922,,,,,,,case rate,,39781,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28577,58869,
57240 - ANTERIOR COLPORRHAPHY,57240,CPT,,both,,,11121,11121,,827,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2409,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2120,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1985,,,,,,,fee schedule,,4337,,,,,,,fee schedule,,443,7019,
57250 - REPAIR RECTUM & VAGINA,57250,CPT,,both,,,11121,11121,,833,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2409,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2120,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1985,,,,,,,fee schedule,,4337,,,,,,,fee schedule,,418,7019,
57260 - CMBN ANT PST COLPRHY,57260,CPT,,both,,,11121,11121,,1026,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2409,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2120,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1985,,,,,,,fee schedule,,4337,,,,,,,fee schedule,,601,7019,
57267 - INSERT MESH/PELVIC FLR ADDON,57267,CPT,,both,,,22987,22987,,19660,,,,,,,case rate,,23656,,,,,,,case rate,,19098,,,,,,,case rate,,19098,,,,,,,case rate,,27376,,,,,,,case rate,,27376,,,,,,,case rate,,20434,,,,,,,case rate,,13290,,,,,,,case rate,,  ,,,,,,,case rate,,18017,,,,,,,case rate,,18017,,,,,,,case rate,,18017,,,,,,,case rate,,18378,,,,,,,case rate,,18017,,,,,,,case rate,,18017,,,,,,,case rate,,18017,,,,,,,case rate,,16756,,,,,,,case rate,,18017,,,,,,,case rate,,18017,,,,,,,case rate,,18017,,,,,,,case rate,,18017,,,,,,,case rate,,18378,,,,,,,case rate,,19279,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13290,27376,
57282 - COLPOPEXY EXTRAPERITONEAL,57282,CPT,,both,,,16560,16560,,618,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,10451,,,,,,,fee schedule,,10451,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2409,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6757,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6160,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6757,,,,,,,fee schedule,,7088,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2120,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1985,,,,,,,fee schedule,,4337,,,,,,,fee schedule,,618,10451,
57287 - REVISE/REMOVE SLING REPAIR,57287,CPT,,both,,,6784,6784,,840,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2962,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,710,4282,
57288 - REPAIR BLADDER DEFECT,57288,CPT,,both,,,11121,11121,,883,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2962,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2607,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2441,,,,,,,fee schedule,,5332,,,,,,,fee schedule,,825,7019,
57289 - REPAIR BLADDER & VAGINA,57289,CPT,,both,,,48461,48461,,54325,,,,,,,case rate,,65365,,,,,,,case rate,,52772,,,,,,,case rate,,52772,,,,,,,case rate,,75646,,,,,,,case rate,,75646,,,,,,,case rate,,56462,,,,,,,case rate,,36721,,,,,,,case rate,,  ,,,,,,,case rate,,47386,,,,,,,case rate,,47386,,,,,,,case rate,,47386,,,,,,,case rate,,48333,,,,,,,case rate,,47386,,,,,,,case rate,,47386,,,,,,,case rate,,47386,,,,,,,case rate,,44069,,,,,,,case rate,,47386,,,,,,,case rate,,47386,,,,,,,case rate,,47386,,,,,,,case rate,,47386,,,,,,,case rate,,48333,,,,,,,case rate,,50703,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36721,75646,
573 - Skin graft for skin ulcer or cellulitis w MCC,573,MS-DRG,,inpatient,,,15871,15871,,786,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,10017,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,5904,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6348,,,,,,,fee schedule,,6475,,,,,,,fee schedule,,6793,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,786,10017,
57300 - REPAIR RECTUM-VAGINA FISTULA,57300,CPT,,both,,,6784,6784,,708,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2409,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2120,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1985,,,,,,,fee schedule,,4337,,,,,,,fee schedule,,555,4337,
57320 - REPAIR BLADDER-VAGINA LESION,57320,CPT,,both,,,26335,26335,,43156,,,,,,,case rate,,51927,,,,,,,case rate,,41923,,,,,,,case rate,,41923,,,,,,,case rate,,60094,,,,,,,case rate,,60094,,,,,,,case rate,,44854,,,,,,,case rate,,29172,,,,,,,case rate,,  ,,,,,,,case rate,,37924,,,,,,,case rate,,37924,,,,,,,case rate,,37924,,,,,,,case rate,,38682,,,,,,,case rate,,37924,,,,,,,case rate,,37924,,,,,,,case rate,,37924,,,,,,,case rate,,35269,,,,,,,case rate,,37924,,,,,,,case rate,,37924,,,,,,,case rate,,37924,,,,,,,case rate,,37924,,,,,,,case rate,,38682,,,,,,,case rate,,40578,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29172,60094,
57410 - PELVIC EXAMINATION,57410,CPT,,both,,,6784,6784,,134,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1141,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1069,,,,,,,fee schedule,,2334,,,,,,,fee schedule,,122,4282,
57420 - EXAM OF VAGINA W/SCOPE,57420,CPT,,both,,,2637,2637,,115,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,442,,,,,,,fee schedule,,442,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,465,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,261,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,300,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,410,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,384,,,,,,,fee schedule,,838,,,,,,,fee schedule,,99,1965,
57421 - EXAM/BIOPSY OF VAG W/SCOPE,57421,CPT,,both,,,1688,1688,,156,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,465,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,628,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,722,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,410,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,384,,,,,,,fee schedule,,838,,,,,,,fee schedule,,137,1965,
57425 - LAPAROSCOPY SURG COLPOPEXY,57425,CPT,,both,,,21804,21804,,1195,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8111,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,9332,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,1083,13761,
57452 - EXAM OF CERVIX W/SCOPE,57452,CPT,,both,,,916,916,,115,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,465,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,410,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,372,,,,,,,fee schedule,,384,,,,,,,fee schedule,,838,,,,,,,fee schedule,,39,1965,
57454 - BX/CURETT OF CERVIX W/SCOPE,57454,CPT,,both,,,1272,1272,,168,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,442,,,,,,,fee schedule,,442,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,612,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,261,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,300,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,538,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,504,,,,,,,fee schedule,,1101,,,,,,,fee schedule,,143,4134,
57456 - ENDOCERV CURETTAGE W/SCOPE,57456,CPT,,both,,,940,940,,127,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,442,,,,,,,fee schedule,,442,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,612,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,261,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,300,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,538,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,504,,,,,,,fee schedule,,1101,,,,,,,fee schedule,,117,4134,
575 - Skin graft for skin ulcer or cellulitis w/o CC/MCC,575,MS-DRG,,inpatient,,,3672,3672,,395,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,395,2172,
57500 - BIOPSY OF CERVIX,57500,CPT,,both,,,3412,3412,,94,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,820,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,628,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,722,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,722,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,656,,,,,,,fee schedule,,676,,,,,,,fee schedule,,1477,,,,,,,fee schedule,,65,4134,
57520 - CONIZATION OF CERVIX,57520,CPT,,both,,,6784,6784,,344,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1141,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1069,,,,,,,fee schedule,,2334,,,,,,,fee schedule,,306,4282,
57522 - CONIZATION OF CERVIX,57522,CPT,,both,,,6784,6784,,302,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1141,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1038,,,,,,,fee schedule,,1069,,,,,,,fee schedule,,2334,,,,,,,fee schedule,,263,4282,
577 - Skin graft except for skin ulcer or cellulitis with CC,577,MS-DRG,,inpatient,,,6784,6784,,210,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,210,4282,
57700 - REVISION OF CERVIX,57700,CPT,,both,,,6784,6784,,397,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1498,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1318,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1198,,,,,,,fee schedule,,1234,,,,,,,fee schedule,,2696,,,,,,,fee schedule,,267,4282,
"579 - Other skin, subcutaneous tissue and breast procedures with MCC",579,MS-DRG,,inpatient,,,7805,7805,,430,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,4926,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3122,,,,,,,fee schedule,,3185,,,,,,,fee schedule,,3341,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,430,4926,
"580 - Other skin, subcutaneous tissue and breast procedures with CC",580,MS-DRG,,inpatient,,,735,735,,58,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,843,,,,,,,fee schedule,,843,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,545,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,497,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,545,,,,,,,fee schedule,,572,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,58,843,
58100 - BIOPSY OF UTERUS LINING,58100,CPT,,both,,,996,996,,108,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,341,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,300,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,281,,,,,,,fee schedule,,614,,,,,,,fee schedule,,97,4134,
58120 - DILATION AND CURETTAGE,58120,CPT,,both,,,6784,6784,,272,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1685,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1483,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1348,,,,,,,fee schedule,,1388,,,,,,,fee schedule,,3033,,,,,,,fee schedule,,235,4282,
58140 - MYOMECTOMY ABDOM METHOD,58140,CPT,,both,,,,,,1147,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,964,2910,
58145 - MYOMECTOMY VAG METHOD,58145,CPT,,both,,,6784,6784,,681,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2409,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2120,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1985,,,,,,,fee schedule,,4337,,,,,,,fee schedule,,577,4337,
582 - Mastectomy for malignancy w CC/MCC,582,MS-DRG,,inpatient,,,1418,1418,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,522,,,,,,,fee schedule,,522,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,331,,,,,,,fee schedule,,331,,,,,,,fee schedule,,331,,,,,,,fee schedule,,337,,,,,,,fee schedule,,331,,,,,,,fee schedule,,331,,,,,,,fee schedule,,331,,,,,,,fee schedule,,307,,,,,,,fee schedule,,331,,,,,,,fee schedule,,331,,,,,,,fee schedule,,331,,,,,,,fee schedule,,331,,,,,,,fee schedule,,337,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,38,706,
58300 - INSERT INTRAUTERINE DEVICE,58300,CPT,,both,,,830,830,,67,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,798,,,,,,,fee schedule,,798,,,,,,,fee schedule,,211,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,62,1880,
58301 - REMOVE INTRAUTERINE DEVICE,58301,CPT,,both,,,727,727,,83,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,442,,,,,,,fee schedule,,442,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,211,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,261,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,280,,,,,,,fee schedule,,286,,,,,,,fee schedule,,300,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,79,1880,
58322 - ARTIFICIAL INSEMINATION,58322,CPT,,both,,,2585,2585,,117,,,,,,,fee schedule,,115,,,,,,,fee schedule,,764,,,,,,,fee schedule,,764,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,606,,,,,,,fee schedule,,606,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,450,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,518,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,115,819,
58340 - CATHETER FOR HYSTEROGRAPHY,58340,CPT,,both,,,1048,1048,,72,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,763,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,672,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,611,,,,,,,fee schedule,,629,,,,,,,fee schedule,,1374,,,,,,,fee schedule,,64,4134,
"585 - Breast biopsy, local excision & oth breast procedures w/o CC/MCC",585,MS-DRG,,inpatient,,,1207,1207,,239,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,194,762,
58552 - LAPARO-VAG HYST INCL T/O,58552,CPT,,both,,,21804,21804,,1227,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3320,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8111,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,9332,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2921,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2735,,,,,,,fee schedule,,5976,,,,,,,fee schedule,,973,13761,
58555 - HYSTEROSCOPY DX SEP PROC,58555,CPT,,both,,,6784,6784,,233,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2328,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,2048,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1918,,,,,,,fee schedule,,4190,,,,,,,fee schedule,,215,4282,
58558 - HYSTEROSCOPY BIOPSY,58558,CPT,,both,,,6784,6784,,329,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,553,,,,,,,fee schedule,,553,,,,,,,fee schedule,,2328,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,2048,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1918,,,,,,,fee schedule,,4190,,,,,,,fee schedule,,329,4282,
58559 - HYSTEROSCOPY LYSIS,58559,CPT,,both,,,11121,11121,,421,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2328,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,2048,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1918,,,,,,,fee schedule,,4190,,,,,,,fee schedule,,395,7019,
58561 - HYSTEROSCOPY REMOVE MYOMA,58561,CPT,,both,,,11121,11121,,672,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2328,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,2048,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1862,,,,,,,fee schedule,,1918,,,,,,,fee schedule,,4190,,,,,,,fee schedule,,637,7019,
58562 - HYSTEROSCOPY REMOVE FB,58562,CPT,,both,,,6784,6784,,357,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2076,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1826,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1660,,,,,,,fee schedule,,1710,,,,,,,fee schedule,,3736,,,,,,,fee schedule,,333,4282,
58571 - TLH W/T/O 250 G OR LESS,58571,CPT,,both,,,21804,21804,,1131,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3320,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8111,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,9332,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2921,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2735,,,,,,,fee schedule,,5976,,,,,,,fee schedule,,1079,13761,
58573 - TLH W/T/O UTERUS OVER 250 G,58573,CPT,,both,,,21804,21804,,1528,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,4066,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8111,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,9332,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3578,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3252,,,,,,,fee schedule,,3350,,,,,,,fee schedule,,7318,,,,,,,fee schedule,,1202,13761,
58660 - LAPAROSCOPY LYSIS,58660,CPT,,both,,,12506,12506,,836,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,755,7893,
58661 - LAPAROSCOPY REMOVE ADNEXA,58661,CPT,,both,,,12506,12506,,809,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,729,7893,
58662 - LAPAROSCOPY EXCISE LESIONS,58662,CPT,,both,,,12506,12506,,880,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3320,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2921,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2735,,,,,,,fee schedule,,5976,,,,,,,fee schedule,,773,7893,
58670 - LAPAROSCOPY TUBAL CAUTERY,58670,CPT,,both,,,12506,12506,,450,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3180,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2799,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2544,,,,,,,fee schedule,,2621,,,,,,,fee schedule,,5725,,,,,,,fee schedule,,413,7893,
58805 - DRAINAGE OF OVARIAN CYST(S),58805,CPT,,both,,,38821,38821,,32885,,,,,,,case rate,,39568,,,,,,,case rate,,31945,,,,,,,case rate,,31945,,,,,,,case rate,,45791,,,,,,,case rate,,45791,,,,,,,case rate,,34178,,,,,,,case rate,,22229,,,,,,,case rate,,  ,,,,,,,case rate,,29221,,,,,,,case rate,,29221,,,,,,,case rate,,29221,,,,,,,case rate,,29806,,,,,,,case rate,,29221,,,,,,,case rate,,29221,,,,,,,case rate,,29221,,,,,,,case rate,,27176,,,,,,,case rate,,29221,,,,,,,case rate,,29221,,,,,,,case rate,,29221,,,,,,,case rate,,29221,,,,,,,case rate,,29806,,,,,,,case rate,,31267,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22229,45791,
58940 - REMOVAL OF OVARY(S),58940,CPT,,both,,,19867,19867,,22910,,,,,,,case rate,,27566,,,,,,,case rate,,22255,,,,,,,case rate,,22255,,,,,,,case rate,,31902,,,,,,,case rate,,31902,,,,,,,case rate,,23811,,,,,,,case rate,,15486,,,,,,,case rate,,  ,,,,,,,case rate,,20771,,,,,,,case rate,,20771,,,,,,,case rate,,20771,,,,,,,case rate,,21186,,,,,,,case rate,,20771,,,,,,,case rate,,20771,,,,,,,case rate,,20771,,,,,,,case rate,,19317,,,,,,,case rate,,20771,,,,,,,case rate,,20771,,,,,,,case rate,,20771,,,,,,,case rate,,20771,,,,,,,case rate,,21186,,,,,,,case rate,,22225,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15486,31902,
58999 - UNLISTED PX FML GENITAL SYS,58999,CPT,,both,,,26416,26416,,25141,,,,,,,case rate,,30250,,,,,,,case rate,,24422,,,,,,,case rate,,24422,,,,,,,case rate,,35008,,,,,,,case rate,,35008,,,,,,,case rate,,26130,,,,,,,case rate,,16994,,,,,,,case rate,,  ,,,,,,,case rate,,22661,,,,,,,case rate,,22661,,,,,,,case rate,,22661,,,,,,,case rate,,23114,,,,,,,case rate,,22661,,,,,,,case rate,,22661,,,,,,,case rate,,22661,,,,,,,case rate,,21074,,,,,,,case rate,,22661,,,,,,,case rate,,22661,,,,,,,case rate,,22661,,,,,,,case rate,,22661,,,,,,,case rate,,23114,,,,,,,case rate,,24247,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16994,35008,
59000 - AMNIOCENTESIS DIAGNOSTIC,59000,CPT,,both,,,856,856,,98,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,1065,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1317,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,628,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,675,,,,,,,fee schedule,,689,,,,,,,fee schedule,,722,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1159,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1085,,,,,,,fee schedule,,2371,,,,,,,fee schedule,,96,3535,
59025 - FETAL NON-STRESS TEST,59025,CPT,,both,,,295,295,,28,,,,,,,fee schedule,,64,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,3,222,
59120 - TREAT ECTOPIC PREGNANCY,59120,CPT,,both,,,,,,959,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2962,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2607,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2370,,,,,,,fee schedule,,2441,,,,,,,fee schedule,,5332,,,,,,,fee schedule,,837,5332,
59150 - TREAT ECTOPIC PREGNANCY,59150,CPT,,both,,,12506,12506,,933,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3320,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2921,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2735,,,,,,,fee schedule,,5976,,,,,,,fee schedule,,812,7893,
59151 - TREAT ECTOPIC PREGNANCY,59151,CPT,,both,,,12506,12506,,903,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,5954,,,,,,,fee schedule,,3320,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2921,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2656,,,,,,,fee schedule,,2735,,,,,,,fee schedule,,5976,,,,,,,fee schedule,,789,7893,
59160 - D & C AFTER DELIVERY,59160,CPT,,both,,,23766,23766,,32831,,,,,,,case rate,,39504,,,,,,,case rate,,31893,,,,,,,case rate,,31893,,,,,,,case rate,,45717,,,,,,,case rate,,45717,,,,,,,case rate,,34123,,,,,,,case rate,,22193,,,,,,,case rate,,  ,,,,,,,case rate,,29176,,,,,,,case rate,,29176,,,,,,,case rate,,29176,,,,,,,case rate,,29760,,,,,,,case rate,,29176,,,,,,,case rate,,29176,,,,,,,case rate,,29176,,,,,,,case rate,,27134,,,,,,,case rate,,29176,,,,,,,case rate,,29176,,,,,,,case rate,,29176,,,,,,,case rate,,29176,,,,,,,case rate,,29760,,,,,,,case rate,,31219,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22193,45717,
592 - Skin ulcers w MCC,592,MS-DRG,,inpatient,,,3902,3902,,755,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2255,,,,,,,fee schedule,,2255,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1458,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1329,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1429,,,,,,,fee schedule,,1458,,,,,,,fee schedule,,1529,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,755,2255,
593 - Skin ulcers w CC,593,MS-DRG,,inpatient,,,443,443,,150,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,150,202,
59320 - REVISION OF CERVIX,59320,CPT,,both,,,6784,6784,,185,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1317,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1159,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,1085,,,,,,,fee schedule,,2371,,,,,,,fee schedule,,180,4282,
59400 - OBSTETRICAL CARE,59400,CPT,,both,,,160,160,,4773,,,,,,,fee schedule,,4831,,,,,,,fee schedule,,110,,,,,,,fee schedule,,110,,,,,,,fee schedule,,5716,,,,,,,fee schedule,,5716,,,,,,,fee schedule,,63,,,,,,,fee schedule,,799,,,,,,,fee schedule,,371,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,55,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,52,,,,,,,fee schedule,,113,,,,,,,fee schedule,,50,5716,
596 - Major skin disorders w/o MCC,596,MS-DRG,,inpatient,,,316,316,,20,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20,132,
597 - Malignant breast disorders w MCC,597,MS-DRG,,inpatient,,,627,627,,88,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,94,,,,,,,fee schedule,,94,,,,,,,fee schedule,,185,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,148,,,,,,,fee schedule,,148,,,,,,,fee schedule,,148,,,,,,,fee schedule,,148,,,,,,,fee schedule,,148,,,,,,,fee schedule,,148,,,,,,,fee schedule,,163,,,,,,,fee schedule,,148,,,,,,,fee schedule,,148,,,,,,,fee schedule,,148,,,,,,,fee schedule,,153,,,,,,,fee schedule,,333,,,,,,,fee schedule,,88,575,
59812 - TREATMENT OF MISCARRIAGE,59812,CPT,,both,,,6784,6784,,357,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1633,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1437,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1346,,,,,,,fee schedule,,2939,,,,,,,fee schedule,,303,4282,
59820 - CARE OF MISCARRIAGE,59820,CPT,,both,,,6784,6784,,428,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1633,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1437,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1306,,,,,,,fee schedule,,1346,,,,,,,fee schedule,,2939,,,,,,,fee schedule,,318,4282,
59830 - TREAT UTERUS INFECTION,59830,CPT,,both,,,17887,17887,,21305,,,,,,,case rate,,25635,,,,,,,case rate,,20696,,,,,,,case rate,,20696,,,,,,,case rate,,29666,,,,,,,case rate,,29666,,,,,,,case rate,,22143,,,,,,,case rate,,14401,,,,,,,case rate,,  ,,,,,,,case rate,,19411,,,,,,,case rate,,19411,,,,,,,case rate,,19411,,,,,,,case rate,,19799,,,,,,,case rate,,19411,,,,,,,case rate,,19411,,,,,,,case rate,,19411,,,,,,,case rate,,18052,,,,,,,case rate,,19411,,,,,,,case rate,,19411,,,,,,,case rate,,19411,,,,,,,case rate,,19411,,,,,,,case rate,,19799,,,,,,,case rate,,20769,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14401,29666,
59840 - ABORTION,59840,CPT,,both,,,6784,6784,,251,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,4282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,979,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2524,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2714,,,,,,,fee schedule,,2768,,,,,,,fee schedule,,2904,,,,,,,fee schedule,,783,,,,,,,fee schedule,,783,,,,,,,fee schedule,,783,,,,,,,fee schedule,,783,,,,,,,fee schedule,,783,,,,,,,fee schedule,,783,,,,,,,fee schedule,,861,,,,,,,fee schedule,,783,,,,,,,fee schedule,,783,,,,,,,fee schedule,,783,,,,,,,fee schedule,,806,,,,,,,fee schedule,,1761,,,,,,,fee schedule,,250,4282,
600 - Non-malignant breast disorders w CC/MCC,600,MS-DRG,,inpatient,,,152,152,,24,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
60100 - BIOPSY OF THYROID,60100,CPT,,both,,,21910,21910,,24927,,,,,,,case rate,,29993,,,,,,,case rate,,24215,,,,,,,case rate,,24215,,,,,,,case rate,,34710,,,,,,,case rate,,34710,,,,,,,case rate,,25908,,,,,,,case rate,,16850,,,,,,,case rate,,  ,,,,,,,case rate,,22480,,,,,,,case rate,,22480,,,,,,,case rate,,22480,,,,,,,case rate,,22929,,,,,,,case rate,,22480,,,,,,,case rate,,22480,,,,,,,case rate,,22480,,,,,,,case rate,,20906,,,,,,,case rate,,22480,,,,,,,case rate,,22480,,,,,,,case rate,,22480,,,,,,,case rate,,22480,,,,,,,case rate,,22929,,,,,,,case rate,,24053,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16850,34710,
602 - Cellulitis w MCC,602,MS-DRG,,inpatient,,,59,59,,127,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,180,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,159,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,149,,,,,,,fee schedule,,325,,,,,,,fee schedule,,31,325,
60240 - REMOVAL OF THYROID,60240,CPT,,both,,,52529,52529,,47193,,,,,,,case rate,,56784,,,,,,,case rate,,45844,,,,,,,case rate,,45844,,,,,,,case rate,,65715,,,,,,,case rate,,65715,,,,,,,case rate,,49050,,,,,,,case rate,,31901,,,,,,,case rate,,  ,,,,,,,case rate,,41344,,,,,,,case rate,,41344,,,,,,,case rate,,41344,,,,,,,case rate,,42171,,,,,,,case rate,,41344,,,,,,,case rate,,41344,,,,,,,case rate,,41344,,,,,,,case rate,,38450,,,,,,,case rate,,41344,,,,,,,case rate,,41344,,,,,,,case rate,,41344,,,,,,,case rate,,41344,,,,,,,case rate,,42171,,,,,,,case rate,,44238,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31901,65715,
60280 - REMOVE THYROID DUCT LESION,60280,CPT,,both,,,12506,12506,,483,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2640,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2472,,,,,,,fee schedule,,5400,,,,,,,fee schedule,,483,7893,
603 - Cellulitis w/o MCC,603,MS-DRG,,inpatient,,,21,21,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,61,,,,,,,fee schedule,,61,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,40,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,36,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,40,,,,,,,fee schedule,,42,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,36,61,
"605 - Trauma to the skin, subcutaneous tissue & breast without MCC",605,MS-DRG,,inpatient,,,280,280,,32,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,32,76,
606 - Minor skin disorders w MCC,606,MS-DRG,,inpatient,,,,,,494,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,481,494,
607 - Minor skin disorders w/o MCC,607,MS-DRG,,inpatient,,,114,114,,65,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,57,65,
"616 - Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC",616,MS-DRG,,inpatient,,,11282,11282,,487,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,449,7121,
"617 - Amputat of lower limb for endocrine, nutrit, & metabol dis w CC",617,MS-DRG,,inpatient,,,3439,3439,,580,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1363,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,580,2010,
61782 - SCAN PROC CRANIAL EXTRA,61782,CPT,,both,,,15311,15311,,16372,,,,,,,case rate,,19700,,,,,,,case rate,,15904,,,,,,,case rate,,15904,,,,,,,case rate,,22798,,,,,,,case rate,,22798,,,,,,,case rate,,17017,,,,,,,case rate,,11067,,,,,,,case rate,,  ,,,,,,,case rate,,15232,,,,,,,case rate,,15232,,,,,,,case rate,,15232,,,,,,,case rate,,15537,,,,,,,case rate,,15232,,,,,,,case rate,,15232,,,,,,,case rate,,15232,,,,,,,case rate,,14166,,,,,,,case rate,,15232,,,,,,,case rate,,15232,,,,,,,case rate,,15232,,,,,,,case rate,,15232,,,,,,,case rate,,15537,,,,,,,case rate,,16298,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11067,22798,
62121 - INCISE SKULL REPAIR,62121,CPT,,both,,,,,,1935,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1592,2910,
"622 - Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC",622,MS-DRG,,inpatient,,,13713,13713,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6530,,,,,,,fee schedule,,6530,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6530,6530,
62270 - DX LMBR SPI PNXR,62270,CPT,,both,,,1565,1565,,91,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,976,,,,,,,fee schedule,,976,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,721,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,575,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,662,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,634,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,594,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,70,1880,
62272 - THER SPI PNXR DRG CSF,62272,CPT,,both,,,1099,1099,,100,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,976,,,,,,,fee schedule,,976,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,721,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,575,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,662,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,634,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,594,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,89,1880,
"623 - Skin grafts & wound debrid for endoc, nutrit & metab dis w CC",623,MS-DRG,,inpatient,,,2802,2802,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1271,1271,
62321 - NJX INTERLAMINAR CRV/THRC,62321,CPT,,both,,,1546,1546,,127,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,976,,,,,,,fee schedule,,976,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,721,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,575,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,662,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,634,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,594,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,127,1880,
62323 - NJX INTERLAMINAR LMBR/SAC,62323,CPT,,both,,,1546,1546,,115,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,976,,,,,,,fee schedule,,976,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,721,,,,,,,fee schedule,,1057,,,,,,,fee schedule,,951,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,575,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,662,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,634,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,594,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,115,4134,
"625 - Thyroid, parathyroid & thyroglossal procedures w MCC",625,MS-DRG,,inpatient,,,7142,7142,,597,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,597,4508,
"627 - Thyroid, parathyroid & thyroglossal procedures w/o CC/MCC",627,MS-DRG,,inpatient,,,799,799,,81,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,81,220,
"628 - Other endocrine, nutrit & metab O.R. proc w MCC",628,MS-DRG,,inpatient,,,13760,13760,,841,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,7121,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4197,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4513,,,,,,,fee schedule,,4603,,,,,,,fee schedule,,4829,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,686,7121,
"629 - Other endocrine, nutrit & metab O.R. proc w CC",629,MS-DRG,,inpatient,,,5073,5073,,642,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,456,3202,
63045 - LAM FACETEC & FORAMOT CRV,63045,CPT,,both,,,81335,81335,,54290,,,,,,,case rate,,65323,,,,,,,case rate,,52738,,,,,,,case rate,,52738,,,,,,,case rate,,75597,,,,,,,case rate,,75597,,,,,,,case rate,,56426,,,,,,,case rate,,36698,,,,,,,case rate,,  ,,,,,,,case rate,,47356,,,,,,,case rate,,47356,,,,,,,case rate,,47356,,,,,,,case rate,,48304,,,,,,,case rate,,47356,,,,,,,case rate,,47356,,,,,,,case rate,,47356,,,,,,,case rate,,44041,,,,,,,case rate,,47356,,,,,,,case rate,,47356,,,,,,,case rate,,47356,,,,,,,case rate,,47356,,,,,,,case rate,,48304,,,,,,,case rate,,50671,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36698,75597,
63047 - LAM FACETEC & FORAMOT LUMBAR,63047,CPT,,both,,,46714,46714,,54273,,,,,,,case rate,,65303,,,,,,,case rate,,52721,,,,,,,case rate,,52721,,,,,,,case rate,,75573,,,,,,,case rate,,75573,,,,,,,case rate,,56408,,,,,,,case rate,,36686,,,,,,,case rate,,  ,,,,,,,case rate,,47342,,,,,,,case rate,,47342,,,,,,,case rate,,47342,,,,,,,case rate,,48289,,,,,,,case rate,,47342,,,,,,,case rate,,47342,,,,,,,case rate,,47342,,,,,,,case rate,,44028,,,,,,,case rate,,47342,,,,,,,case rate,,47342,,,,,,,case rate,,47342,,,,,,,case rate,,47342,,,,,,,case rate,,48289,,,,,,,case rate,,50656,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36686,75573,
63048 - LAM FACETEC &FORAMOT EA ADDL,63048,CPT,,both,,,19256,19256,,17610,,,,,,,case rate,,21189,,,,,,,case rate,,17107,,,,,,,case rate,,17107,,,,,,,case rate,,24522,,,,,,,case rate,,24522,,,,,,,case rate,,18303,,,,,,,case rate,,11904,,,,,,,case rate,,  ,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,16606,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,15141,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,16606,,,,,,,case rate,,17420,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11904,24522,
63650 - IMPLANT NEUROELECTRODES,63650,CPT,,both,,,15845,15845,,474,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,10000,,,,,,,fee schedule,,10000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4873,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6465,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,5894,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6338,,,,,,,fee schedule,,6465,,,,,,,fee schedule,,6782,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,4288,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,3899,,,,,,,fee schedule,,4016,,,,,,,fee schedule,,8772,,,,,,,fee schedule,,421,10000,
637 - Diabetes w MCC,637,MS-DRG,,inpatient,,,510,510,,151,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,151,313,
638 - Diabetes w CC,638,MS-DRG,,inpatient,,,152,152,,65,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,65,70,
639 - Diabetes w/o CC/MCC,639,MS-DRG,,inpatient,,,21,21,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,4,
"640 - Misc disorders of nutrition,metabolism, fluids/electrolytes w MC",640,MS-DRG,,inpatient,,,142,142,,30,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,19,253,
"641 - Misc disorders of nutrition,metabolism,fluid/electrolytes w/o MC",641,MS-DRG,,inpatient,,,51,51,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,17,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,19,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,17,28,
642 - Inborn and other disorders of metabolism,642,MS-DRG,,inpatient,,,346,346,,33,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,15,253,
643 - Endocrine disorders w MCC,643,MS-DRG,,inpatient,,,568,568,,62,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,362,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,184,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,212,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,319,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,299,,,,,,,fee schedule,,652,,,,,,,fee schedule,,62,652,
644 - Endocrine disorders w CC,644,MS-DRG,,inpatient,,,211,211,,27,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,27,132,
64400 - NJX AA&/STRD TRIGEMINAL NRV,64400,CPT,,both,,,683,683,,84,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,654,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,576,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,523,,,,,,,fee schedule,,539,,,,,,,fee schedule,,1178,,,,,,,fee schedule,,62,1880,
64430 - NJX AA&/STRD PUDENDAL NERVE,64430,CPT,,both,,,2379,2379,,94,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1290,,,,,,,fee schedule,,1290,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,887,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,834,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,761,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,834,,,,,,,fee schedule,,875,,,,,,,fee schedule,,709,,,,,,,fee schedule,,709,,,,,,,fee schedule,,709,,,,,,,fee schedule,,709,,,,,,,fee schedule,,709,,,,,,,fee schedule,,709,,,,,,,fee schedule,,780,,,,,,,fee schedule,,709,,,,,,,fee schedule,,709,,,,,,,fee schedule,,709,,,,,,,fee schedule,,731,,,,,,,fee schedule,,1596,,,,,,,fee schedule,,85,4134,
64450 - NJX AA&/STRD OTHER PN/BRANCH,64450,CPT,,both,,,2682,2682,,52,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,976,,,,,,,fee schedule,,976,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,607,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,575,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,618,,,,,,,fee schedule,,631,,,,,,,fee schedule,,662,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,534,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,500,,,,,,,fee schedule,,1092,,,,,,,fee schedule,,27,1880,
64483 - NJX AA&/STRD TFRM EPI L/S 1,64483,CPT,,both,,,2045,2045,,129,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1290,,,,,,,fee schedule,,1290,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,884,,,,,,,fee schedule,,1057,,,,,,,fee schedule,,951,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,834,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,761,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,818,,,,,,,fee schedule,,834,,,,,,,fee schedule,,875,,,,,,,fee schedule,,707,,,,,,,fee schedule,,707,,,,,,,fee schedule,,707,,,,,,,fee schedule,,707,,,,,,,fee schedule,,707,,,,,,,fee schedule,,707,,,,,,,fee schedule,,778,,,,,,,fee schedule,,707,,,,,,,fee schedule,,707,,,,,,,fee schedule,,707,,,,,,,fee schedule,,728,,,,,,,fee schedule,,1591,,,,,,,fee schedule,,110,4134,
645 - Endocrine disorders w/o CC/MCC,645,MS-DRG,,inpatient,,,139,139,,12,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12,23,
64575 - OPN IMPLTJ NEA PERPH NERVE,64575,CPT,,both,,,74938,74938,,61214,,,,,,,case rate,,73655,,,,,,,case rate,,59464,,,,,,,case rate,,59464,,,,,,,case rate,,85239,,,,,,,case rate,,85239,,,,,,,case rate,,63622,,,,,,,case rate,,41378,,,,,,,case rate,,  ,,,,,,,case rate,,53223,,,,,,,case rate,,53223,,,,,,,case rate,,53223,,,,,,,case rate,,54287,,,,,,,case rate,,53223,,,,,,,case rate,,53223,,,,,,,case rate,,53223,,,,,,,case rate,,49497,,,,,,,case rate,,53223,,,,,,,case rate,,53223,,,,,,,case rate,,53223,,,,,,,case rate,,53223,,,,,,,case rate,,54287,,,,,,,case rate,,56948,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41378,85239,
64612 - DESTROY NERVE FACE MUSCLE,64612,CPT,,both,,,631,631,,139,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,607,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,243,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,261,,,,,,,fee schedule,,266,,,,,,,fee schedule,,279,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,534,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,500,,,,,,,fee schedule,,1092,,,,,,,fee schedule,,37,1880,
64635 - DESTROY LUMB/SAC FACET JNT,64635,CPT,,both,,,4313,4313,,255,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2722,,,,,,,fee schedule,,2722,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,721,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1760,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1604,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1760,,,,,,,fee schedule,,1846,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,634,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,594,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,255,2722,
64636 - DESTROY L/S FACET JNT ADDL,64636,CPT,,both,,,,,,68,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,721,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,634,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,577,,,,,,,fee schedule,,594,,,,,,,fee schedule,,1297,,,,,,,fee schedule,,68,1880,
64708 - REVISE ARM/LEG NERVE,64708,CPT,,both,,,4313,4313,,584,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2722,,,,,,,fee schedule,,2722,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1688,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1760,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1604,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1760,,,,,,,fee schedule,,1846,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1486,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1391,,,,,,,fee schedule,,3039,,,,,,,fee schedule,,518,3039,
64831 - REPAIR OF DIGIT NERVE,64831,CPT,,both,,,4313,4313,,804,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,2722,,,,,,,fee schedule,,2722,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1688,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1760,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1604,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1725,,,,,,,fee schedule,,1760,,,,,,,fee schedule,,1846,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1486,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1351,,,,,,,fee schedule,,1391,,,,,,,fee schedule,,3039,,,,,,,fee schedule,,761,3039,
650 - Kidney transplant with hemodialysis with MCC,650,MS-DRG,,inpatient,,,12506,12506,,407,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,375,7893,
651 - kidney transplant with hemodialysis without MCC,651,MS-DRG,,inpatient,,,8040,8040,,439,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,5074,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,2991,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3216,,,,,,,fee schedule,,3280,,,,,,,fee schedule,,3441,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,439,5074,
65105 - REMOVE EYE/ATTACH IMPLANT,65105,CPT,,both,,,8387,8387,,1009,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,913,5293,
652 - Kidney transplant,652,MS-DRG,,inpatient,,,7690,7690,,499,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,465,4854,
65205 - REMOVE FOREIGN BODY FROM EYE,65205,CPT,,both,,,266,266,,52,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,153,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,135,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,126,,,,,,,fee schedule,,275,,,,,,,fee schedule,,37,1880,
65222 - REMOVE FOREIGN BODY FROM EYE,65222,CPT,,both,,,276,276,,61,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,30,1880,
65235 - REMOVE FOREIGN BODY FROM EYE,65235,CPT,,both,,,45719,45719,,30097,,,,,,,case rate,,36213,,,,,,,case rate,,29236,,,,,,,case rate,,29236,,,,,,,case rate,,41909,,,,,,,case rate,,41909,,,,,,,case rate,,31281,,,,,,,case rate,,20344,,,,,,,case rate,,  ,,,,,,,case rate,,26859,,,,,,,case rate,,26859,,,,,,,case rate,,26859,,,,,,,case rate,,27396,,,,,,,case rate,,26859,,,,,,,case rate,,26859,,,,,,,case rate,,26859,,,,,,,case rate,,24979,,,,,,,case rate,,26859,,,,,,,case rate,,26859,,,,,,,case rate,,26859,,,,,,,case rate,,26859,,,,,,,case rate,,27396,,,,,,,case rate,,28739,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20344,41909,
65426 - REMOVAL OF EYE LESION,65426,CPT,,both,,,5073,5073,,569,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2773,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,516,3202,
65430 - CORNEAL SMEAR,65430,CPT,,both,,,25791,25791,,21463,,,,,,,case rate,,25825,,,,,,,case rate,,20850,,,,,,,case rate,,20850,,,,,,,case rate,,29887,,,,,,,case rate,,29887,,,,,,,case rate,,22308,,,,,,,case rate,,14508,,,,,,,case rate,,  ,,,,,,,case rate,,19545,,,,,,,case rate,,19545,,,,,,,case rate,,19545,,,,,,,case rate,,19936,,,,,,,case rate,,19545,,,,,,,case rate,,19545,,,,,,,case rate,,19545,,,,,,,case rate,,18177,,,,,,,case rate,,19545,,,,,,,case rate,,19545,,,,,,,case rate,,19545,,,,,,,case rate,,19545,,,,,,,case rate,,19936,,,,,,,case rate,,20913,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14508,29887,
65436 - CURETTE/TREAT CORNEA,65436,CPT,,both,,,12472,12472,,442,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2328,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,396,3202,
656 - Kidney & ureter procedures for neoplasm w MCC,656,MS-DRG,,inpatient,,,7690,7690,,557,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,523,4854,
657 - Kidney & ureter procedures for neoplasm w CC,657,MS-DRG,,inpatient,,,2968,2968,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,806,,,,,,,fee schedule,,806,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,511,,,,,,,fee schedule,,511,,,,,,,fee schedule,,511,,,,,,,fee schedule,,521,,,,,,,fee schedule,,511,,,,,,,fee schedule,,511,,,,,,,fee schedule,,511,,,,,,,fee schedule,,475,,,,,,,fee schedule,,511,,,,,,,fee schedule,,511,,,,,,,fee schedule,,511,,,,,,,fee schedule,,511,,,,,,,fee schedule,,521,,,,,,,fee schedule,,546,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,621,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,582,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,38,1271,
65779 - COVER EYE W/MEMBRANE SUTURE,65779,CPT,,both,,,8387,8387,,180,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2076,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1827,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1711,,,,,,,fee schedule,,3737,,,,,,,fee schedule,,180,5293,
65780 - OCULAR RECONST TRANSPLANT,65780,CPT,,both,,,8387,8387,,858,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2773,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2440,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2285,,,,,,,fee schedule,,4991,,,,,,,fee schedule,,858,5293,
658 - Kidney & ureter procedures for neoplasm w/o CC/MCC,658,MS-DRG,,inpatient,,,243,243,,309,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,319,
65855 - TRABECULOPLASTY LASER SURG,65855,CPT,,both,,,2215,2215,,287,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,866,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,762,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,714,,,,,,,fee schedule,,1559,,,,,,,fee schedule,,287,4134,
65865 - INCISE INNER EYE ADHESIONS,65865,CPT,,both,,,5181,5181,,562,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3071,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2702,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2530,,,,,,,fee schedule,,5527,,,,,,,fee schedule,,537,5527,
659 - Kidney & ureter procedures for non-neoplasm w MCC,659,MS-DRG,,inpatient,,,6198,6198,,560,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,560,3912,
660 - Kidney & ureter procedures for non-neoplasm w CC,660,MS-DRG,,inpatient,,,219,219,,119,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,108,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,124,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,259,
66020 - INJECTION TREATMENT OF EYE,66020,CPT,,both,,,3997,3997,,157,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2328,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,2049,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1863,,,,,,,fee schedule,,1918,,,,,,,fee schedule,,4191,,,,,,,fee schedule,,135,4191,
661 - Kidney & ureter procedures for non-neoplasm w/o CC/MCC,661,MS-DRG,,inpatient,,,180,180,,24,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,132,
66180 - AQUEOUS SHUNT EYE W/GRAFT,66180,CPT,,both,,,9587,9587,,1350,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,853,,,,,,,fee schedule,,853,,,,,,,fee schedule,,4361,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,853,6051,
664 - Minor bladder procedures w/o CC/MCC,664,MS-DRG,,inpatient,,,266,266,,25,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,25,132,
66682 - REPAIR IRIS & CILIARY BODY,66682,CPT,,both,,,5181,5181,,759,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3071,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2702,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2530,,,,,,,fee schedule,,5527,,,,,,,fee schedule,,600,5527,
66761 - REVISION OF IRIS,66761,CPT,,both,,,1536,1536,,281,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,866,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,762,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,714,,,,,,,fee schedule,,1559,,,,,,,fee schedule,,281,4134,
66821 - AFTER CATARACT LASER SURGERY,66821,CPT,,both,,,1342,1342,,371,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,866,,,,,,,fee schedule,,1057,,,,,,,fee schedule,,951,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,762,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,714,,,,,,,fee schedule,,1559,,,,,,,fee schedule,,251,4134,
66852 - REMOVAL OF LENS MATERIAL,66852,CPT,,both,,,9587,9587,,1002,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,754,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,754,6051,
66920 - EXTRACTION OF LENS,66920,CPT,,both,,,21710,21710,,30544,,,,,,,case rate,,36752,,,,,,,case rate,,29671,,,,,,,case rate,,29671,,,,,,,case rate,,42532,,,,,,,case rate,,42532,,,,,,,case rate,,31746,,,,,,,case rate,,20647,,,,,,,case rate,,  ,,,,,,,case rate,,27239,,,,,,,case rate,,27239,,,,,,,case rate,,27239,,,,,,,case rate,,27783,,,,,,,case rate,,27239,,,,,,,case rate,,27239,,,,,,,case rate,,27239,,,,,,,case rate,,25332,,,,,,,case rate,,27239,,,,,,,case rate,,27239,,,,,,,case rate,,27239,,,,,,,case rate,,27239,,,,,,,case rate,,27783,,,,,,,case rate,,29145,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20647,42532,
66930 - EXTRACTION OF LENS,66930,CPT,,both,,,25014,25014,,41612,,,,,,,case rate,,50069,,,,,,,case rate,,40423,,,,,,,case rate,,40423,,,,,,,case rate,,57944,,,,,,,case rate,,57944,,,,,,,case rate,,43249,,,,,,,case rate,,28128,,,,,,,case rate,,  ,,,,,,,case rate,,36615,,,,,,,case rate,,36615,,,,,,,case rate,,36615,,,,,,,case rate,,37348,,,,,,,case rate,,36615,,,,,,,case rate,,36615,,,,,,,case rate,,36615,,,,,,,case rate,,34052,,,,,,,case rate,,36615,,,,,,,case rate,,36615,,,,,,,case rate,,36615,,,,,,,case rate,,36615,,,,,,,case rate,,37348,,,,,,,case rate,,39179,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28128,57944,
66982 - XCAPSL CTRC RMVL CPLX WO ECP,66982,CPT,,both,,,7690,7690,,427,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,372,4854,
66984 - XCAPSL CTRC RMVL W/O ECP,66984,CPT,,both,,,7690,7690,,384,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,384,4854,
67005 - PARTIAL REMOVAL OF EYE FLUID,67005,CPT,,both,,,5181,5181,,562,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3071,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2702,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2457,,,,,,,fee schedule,,2530,,,,,,,fee schedule,,5527,,,,,,,fee schedule,,352,5527,
67028 - INJECTION EYE DRUG,67028,CPT,,both,,,1274,1274,,119,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,504,,,,,,,fee schedule,,504,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,273,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,297,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,342,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,240,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,225,,,,,,,fee schedule,,491,,,,,,,fee schedule,,119,1965,
67031 - LASER SURGERY EYE STRANDS,67031,CPT,,both,,,43506,43506,,23711,,,,,,,case rate,,28530,,,,,,,case rate,,23033,,,,,,,case rate,,23033,,,,,,,case rate,,33017,,,,,,,case rate,,33017,,,,,,,case rate,,24644,,,,,,,case rate,,16028,,,,,,,case rate,,  ,,,,,,,case rate,,21449,,,,,,,case rate,,21449,,,,,,,case rate,,21449,,,,,,,case rate,,21878,,,,,,,case rate,,21449,,,,,,,case rate,,21449,,,,,,,case rate,,21449,,,,,,,case rate,,19948,,,,,,,case rate,,21449,,,,,,,case rate,,21449,,,,,,,case rate,,21449,,,,,,,case rate,,21449,,,,,,,case rate,,21878,,,,,,,case rate,,22951,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16028,33017,
67036 - REMOVAL OF INNER EYE FLUID,67036,CPT,,both,,,9587,9587,,1070,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3850,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3388,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3080,,,,,,,fee schedule,,3172,,,,,,,fee schedule,,6930,,,,,,,fee schedule,,897,6930,
67039 - LASER TREATMENT OF RETINA,67039,CPT,,both,,,45375,45375,,41934,,,,,,,case rate,,50456,,,,,,,case rate,,40735,,,,,,,case rate,,40735,,,,,,,case rate,,58392,,,,,,,case rate,,58392,,,,,,,case rate,,43584,,,,,,,case rate,,28346,,,,,,,case rate,,  ,,,,,,,case rate,,36888,,,,,,,case rate,,36888,,,,,,,case rate,,36888,,,,,,,case rate,,37626,,,,,,,case rate,,36888,,,,,,,case rate,,36888,,,,,,,case rate,,36888,,,,,,,case rate,,34306,,,,,,,case rate,,36888,,,,,,,case rate,,36888,,,,,,,case rate,,36888,,,,,,,case rate,,36888,,,,,,,case rate,,37626,,,,,,,case rate,,39470,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28346,58392,
67041 - VIT FOR MACULAR PUCKER,67041,CPT,,both,,,9587,9587,,1366,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3504,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,3083,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2803,,,,,,,fee schedule,,2887,,,,,,,fee schedule,,6307,,,,,,,fee schedule,,1101,6307,
67042 - VIT FOR MACULAR HOLE,67042,CPT,,both,,,9587,9587,,1366,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,853,,,,,,,fee schedule,,853,,,,,,,fee schedule,,3504,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,853,6051,
67105 - REPAIR DETACHED RETINA PC,67105,CPT,,both,,,921,921,,764,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,866,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,474,4134,
67108 - REPAIR DETACHED RETINA,67108,CPT,,both,,,12812,12812,,580,,,,,,,fee schedule,,4198,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3000,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2640,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2400,,,,,,,fee schedule,,2472,,,,,,,fee schedule,,5400,,,,,,,fee schedule,,580,8086,
67145 - PROPH RTA DTCHMNT PC,67145,CPT,,both,,,939,939,,592,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,866,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,762,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,714,,,,,,,fee schedule,,1559,,,,,,,fee schedule,,410,1965,
672 - Urethral procedures w/o CC/MCC,672,MS-DRG,,inpatient,,,,,,28,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,28,85,
67210 - TREATMENT OF RETINAL LESION,67210,CPT,,both,,,2091,2091,,594,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,866,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,762,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,714,,,,,,,fee schedule,,1559,,,,,,,fee schedule,,474,1965,
67228 - TREATMENT X10SV RETINOPATHY,67228,CPT,,both,,,2104,2104,,364,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,804,,,,,,,fee schedule,,804,,,,,,,fee schedule,,119,,,,,,,fee schedule,,119,,,,,,,fee schedule,,866,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,474,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,509,,,,,,,fee schedule,,520,,,,,,,fee schedule,,545,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,762,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,693,,,,,,,fee schedule,,714,,,,,,,fee schedule,,1559,,,,,,,fee schedule,,119,1965,
673 - Other kidney & urinary tract procedures w MCC,673,MS-DRG,,inpatient,,,9587,9587,,1016,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,815,6051,
67311 - REVISE EYE MUSCLE,67311,CPT,,both,,,5073,5073,,710,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2464,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,2168,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,2030,,,,,,,fee schedule,,4435,,,,,,,fee schedule,,555,4435,
67314 - REVISE EYE MUSCLE,67314,CPT,,both,,,5073,5073,,799,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2464,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,2168,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,1971,,,,,,,fee schedule,,2030,,,,,,,fee schedule,,4435,,,,,,,fee schedule,,616,4435,
674 - Other kidney & urinary tract procedures w CC,674,MS-DRG,,inpatient,,,5181,5181,,895,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,692,3270,
67400 - EXPLORE/BIOPSY EYE SOCKET,67400,CPT,,both,,,3294,3294,,1106,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,825,,,,,,,fee schedule,,825,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1990,,,,,,,fee schedule,,4348,,,,,,,fee schedule,,825,5293,
67405 - EXPLORE/DRAIN EYE SOCKET,67405,CPT,,both,,,4898,4898,,948,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1990,,,,,,,fee schedule,,4348,,,,,,,fee schedule,,896,4348,
67420 - EXPLORE/TREAT EYE SOCKET,67420,CPT,,both,,,32694,32694,,39163,,,,,,,case rate,,47122,,,,,,,case rate,,38044,,,,,,,case rate,,38044,,,,,,,case rate,,54534,,,,,,,case rate,,54534,,,,,,,case rate,,40704,,,,,,,case rate,,26473,,,,,,,case rate,,  ,,,,,,,case rate,,34541,,,,,,,case rate,,34541,,,,,,,case rate,,34541,,,,,,,case rate,,35232,,,,,,,case rate,,34541,,,,,,,case rate,,34541,,,,,,,case rate,,34541,,,,,,,case rate,,32123,,,,,,,case rate,,34541,,,,,,,case rate,,34541,,,,,,,case rate,,34541,,,,,,,case rate,,34541,,,,,,,case rate,,35232,,,,,,,case rate,,36959,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26473,54534,
67450 - EXPLORE/BIOPSY EYE SOCKET,67450,CPT,,both,,,8387,8387,,1496,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3790,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3549,,,,,,,fee schedule,,7753,,,,,,,fee schedule,,1323,7753,
67515 - INJECT/TREAT EYE SOCKET,67515,CPT,,both,,,848,848,,105,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,406,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,358,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,335,,,,,,,fee schedule,,731,,,,,,,fee schedule,,37,4134,
67800 - REMOVE EYELID LESION,67800,CPT,,both,,,1806,1806,,123,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,812,,,,,,,fee schedule,,1773,,,,,,,fee schedule,,86,1880,
67805 - REMOVE EYELID LESIONS,67805,CPT,,both,,,681,681,,196,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,812,,,,,,,fee schedule,,1773,,,,,,,fee schedule,,137,1880,
67808 - REMOVE EYELID LESION(S),67808,CPT,,both,,,29817,29817,,29361,,,,,,,case rate,,35329,,,,,,,case rate,,28522,,,,,,,case rate,,28522,,,,,,,case rate,,40885,,,,,,,case rate,,40885,,,,,,,case rate,,30517,,,,,,,case rate,,19847,,,,,,,case rate,,  ,,,,,,,case rate,,26236,,,,,,,case rate,,26236,,,,,,,case rate,,26236,,,,,,,case rate,,26761,,,,,,,case rate,,26236,,,,,,,case rate,,26236,,,,,,,case rate,,26236,,,,,,,case rate,,24400,,,,,,,case rate,,26236,,,,,,,case rate,,26236,,,,,,,case rate,,26236,,,,,,,case rate,,26236,,,,,,,case rate,,26761,,,,,,,case rate,,28073,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19847,40885,
67810 - BIOPSY EYELID & LID MARGIN,67810,CPT,,both,,,792,792,,87,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1166,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,1026,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,961,,,,,,,fee schedule,,2098,,,,,,,fee schedule,,87,2098,
67820 - REVISE EYELASHES,67820,CPT,,both,,,417,417,,63,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1166,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,1026,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,961,,,,,,,fee schedule,,2098,,,,,,,fee schedule,,54,4134,
67830 - REVISE EYELASHES,67830,CPT,,both,,,19686,19686,,25841,,,,,,,case rate,,31093,,,,,,,case rate,,25103,,,,,,,case rate,,25103,,,,,,,case rate,,35983,,,,,,,case rate,,35983,,,,,,,case rate,,26858,,,,,,,case rate,,17468,,,,,,,case rate,,  ,,,,,,,case rate,,23254,,,,,,,case rate,,23254,,,,,,,case rate,,23254,,,,,,,case rate,,23719,,,,,,,case rate,,23254,,,,,,,case rate,,23254,,,,,,,case rate,,23254,,,,,,,case rate,,21626,,,,,,,case rate,,23254,,,,,,,case rate,,23254,,,,,,,case rate,,23254,,,,,,,case rate,,23254,,,,,,,case rate,,23719,,,,,,,case rate,,24882,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17468,35983,
67840 - REMOVE EYELID LESION,67840,CPT,,both,,,2494,2494,,188,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,1321,,,,,,,fee schedule,,1321,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,854,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,779,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,838,,,,,,,fee schedule,,854,,,,,,,fee schedule,,896,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,812,,,,,,,fee schedule,,1773,,,,,,,fee schedule,,127,1880,
67882 - REVISION OF EYELID,67882,CPT,,both,,,4692,4692,,562,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,812,,,,,,,fee schedule,,1773,,,,,,,fee schedule,,420,3535,
67900 - REPAIR BROW DEFECT,67900,CPT,,both,,,26080,26080,,29569,,,,,,,case rate,,35578,,,,,,,case rate,,28724,,,,,,,case rate,,28724,,,,,,,case rate,,41174,,,,,,,case rate,,41174,,,,,,,case rate,,30732,,,,,,,case rate,,19987,,,,,,,case rate,,  ,,,,,,,case rate,,26412,,,,,,,case rate,,26412,,,,,,,case rate,,26412,,,,,,,case rate,,26940,,,,,,,case rate,,26412,,,,,,,case rate,,26412,,,,,,,case rate,,26412,,,,,,,case rate,,24563,,,,,,,case rate,,26412,,,,,,,case rate,,26412,,,,,,,case rate,,26412,,,,,,,case rate,,26412,,,,,,,case rate,,26940,,,,,,,case rate,,28261,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19987,41174,
67902 - REPAIR EYELID DEFECT,67902,CPT,,both,,,9264,9264,,860,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,2690,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2367,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2217,,,,,,,fee schedule,,4842,,,,,,,fee schedule,,607,5293,
67903 - REPAIR EYELID DEFECT,67903,CPT,,both,,,73780,73780,,29773,,,,,,,case rate,,35824,,,,,,,case rate,,28922,,,,,,,case rate,,28922,,,,,,,case rate,,41458,,,,,,,case rate,,41458,,,,,,,case rate,,30944,,,,,,,case rate,,20125,,,,,,,case rate,,  ,,,,,,,case rate,,26585,,,,,,,case rate,,26585,,,,,,,case rate,,26585,,,,,,,case rate,,27117,,,,,,,case rate,,26585,,,,,,,case rate,,26585,,,,,,,case rate,,26585,,,,,,,case rate,,24724,,,,,,,case rate,,26585,,,,,,,case rate,,26585,,,,,,,case rate,,26585,,,,,,,case rate,,26585,,,,,,,case rate,,27117,,,,,,,case rate,,28446,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20125,41458,
67904 - REPAIR EYELID DEFECT,67904,CPT,,both,,,5073,5073,,710,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2690,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2367,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2217,,,,,,,fee schedule,,4842,,,,,,,fee schedule,,630,4842,
67909 - REVISE EYELID DEFECT,67909,CPT,,both,,,28824,28824,,29558,,,,,,,case rate,,35565,,,,,,,case rate,,28713,,,,,,,case rate,,28713,,,,,,,case rate,,41158,,,,,,,case rate,,41158,,,,,,,case rate,,30721,,,,,,,case rate,,19980,,,,,,,case rate,,  ,,,,,,,case rate,,26403,,,,,,,case rate,,26403,,,,,,,case rate,,26403,,,,,,,case rate,,26931,,,,,,,case rate,,26403,,,,,,,case rate,,26403,,,,,,,case rate,,26403,,,,,,,case rate,,24555,,,,,,,case rate,,26403,,,,,,,case rate,,26403,,,,,,,case rate,,26403,,,,,,,case rate,,26403,,,,,,,case rate,,26931,,,,,,,case rate,,28251,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19980,41158,
67911 - REVISE EYELID DEFECT,67911,CPT,,both,,,27200,27200,,29559,,,,,,,case rate,,35567,,,,,,,case rate,,28714,,,,,,,case rate,,28714,,,,,,,case rate,,41161,,,,,,,case rate,,41161,,,,,,,case rate,,30722,,,,,,,case rate,,19981,,,,,,,case rate,,  ,,,,,,,case rate,,26404,,,,,,,case rate,,26404,,,,,,,case rate,,26404,,,,,,,case rate,,26932,,,,,,,case rate,,26404,,,,,,,case rate,,26404,,,,,,,case rate,,26404,,,,,,,case rate,,24556,,,,,,,case rate,,26404,,,,,,,case rate,,26404,,,,,,,case rate,,26404,,,,,,,case rate,,26404,,,,,,,case rate,,26932,,,,,,,case rate,,28252,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19981,41161,
67912 - CORRECTION EYELID W/IMPLANT,67912,CPT,,both,,,5073,5073,,588,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,514,3535,
67917 - REPAIR EYELID DEFECT,67917,CPT,,both,,,5073,5073,,545,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1990,,,,,,,fee schedule,,4348,,,,,,,fee schedule,,545,4348,
67923 - REPAIR EYELID DEFECT,67923,CPT,,both,,,28275,28275,,29401,,,,,,,case rate,,35376,,,,,,,case rate,,28560,,,,,,,case rate,,28560,,,,,,,case rate,,40940,,,,,,,case rate,,40940,,,,,,,case rate,,30557,,,,,,,case rate,,19874,,,,,,,case rate,,  ,,,,,,,case rate,,26270,,,,,,,case rate,,26270,,,,,,,case rate,,26270,,,,,,,case rate,,26795,,,,,,,case rate,,26270,,,,,,,case rate,,26270,,,,,,,case rate,,26270,,,,,,,case rate,,24431,,,,,,,case rate,,26270,,,,,,,case rate,,26270,,,,,,,case rate,,26270,,,,,,,case rate,,26270,,,,,,,case rate,,26795,,,,,,,case rate,,28109,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19874,40940,
67924 - REPAIR EYELID DEFECT,67924,CPT,,both,,,4639,4639,,545,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,697,,,,,,,fee schedule,,697,,,,,,,fee schedule,,2690,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2367,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2217,,,,,,,fee schedule,,4842,,,,,,,fee schedule,,511,4842,
67935 - REPAIR EYELID WOUND,67935,CPT,,both,,,76898,76898,,29449,,,,,,,case rate,,35434,,,,,,,case rate,,28608,,,,,,,case rate,,28608,,,,,,,case rate,,41008,,,,,,,case rate,,41008,,,,,,,case rate,,30608,,,,,,,case rate,,19907,,,,,,,case rate,,  ,,,,,,,case rate,,26311,,,,,,,case rate,,26311,,,,,,,case rate,,26311,,,,,,,case rate,,26837,,,,,,,case rate,,26311,,,,,,,case rate,,26311,,,,,,,case rate,,26311,,,,,,,case rate,,24469,,,,,,,case rate,,26311,,,,,,,case rate,,26311,,,,,,,case rate,,26311,,,,,,,case rate,,26311,,,,,,,case rate,,26837,,,,,,,case rate,,28153,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19907,41008,
67938 - REMOVE EYELID FOREIGN BODY,67938,CPT,,both,,,24145,24145,,20628,,,,,,,case rate,,24820,,,,,,,case rate,,20038,,,,,,,case rate,,20038,,,,,,,case rate,,28724,,,,,,,case rate,,28724,,,,,,,case rate,,21439,,,,,,,case rate,,13944,,,,,,,case rate,,  ,,,,,,,case rate,,18837,,,,,,,case rate,,18837,,,,,,,case rate,,18837,,,,,,,case rate,,19214,,,,,,,case rate,,18837,,,,,,,case rate,,18837,,,,,,,case rate,,18837,,,,,,,case rate,,17519,,,,,,,case rate,,18837,,,,,,,case rate,,18837,,,,,,,case rate,,18837,,,,,,,case rate,,18837,,,,,,,case rate,,19214,,,,,,,case rate,,20156,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13944,28724,
67961 - REVISION OF EYELID,67961,CPT,,both,,,4106,4106,,541,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1990,,,,,,,fee schedule,,4348,,,,,,,fee schedule,,499,4348,
67966 - REVISION OF EYELID,67966,CPT,,both,,,5742,5742,,782,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2690,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2367,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2217,,,,,,,fee schedule,,4842,,,,,,,fee schedule,,543,4842,
67971 - RECONSTRUCTION OF EYELID,67971,CPT,,both,,,5073,5073,,859,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1990,,,,,,,fee schedule,,4348,,,,,,,fee schedule,,747,4348,
67973 - RECONSTRUCTION OF EYELID,67973,CPT,,both,,,4088,4088,,1104,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1990,,,,,,,fee schedule,,4348,,,,,,,fee schedule,,967,4348,
68100 - BIOPSY OF EYELID LINING,68100,CPT,,both,,,25808,25808,,29321,,,,,,,case rate,,35279,,,,,,,case rate,,28482,,,,,,,case rate,,28482,,,,,,,case rate,,40828,,,,,,,case rate,,40828,,,,,,,case rate,,30474,,,,,,,case rate,,19820,,,,,,,case rate,,  ,,,,,,,case rate,,26202,,,,,,,case rate,,26202,,,,,,,case rate,,26202,,,,,,,case rate,,26726,,,,,,,case rate,,26202,,,,,,,case rate,,26202,,,,,,,case rate,,26202,,,,,,,case rate,,24368,,,,,,,case rate,,26202,,,,,,,case rate,,26202,,,,,,,case rate,,26202,,,,,,,case rate,,26202,,,,,,,case rate,,26726,,,,,,,case rate,,28036,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19820,40828,
682 - Renal failure w MCC,682,MS-DRG,,inpatient,,,372,372,,40,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,191,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,108,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,124,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,168,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,157,,,,,,,fee schedule,,343,,,,,,,fee schedule,,24,343,
68200 - TREAT EYELID BY INJECTION,68200,CPT,,both,,,1592,1592,,42,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,572,,,,,,,fee schedule,,572,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,406,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,388,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,358,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,335,,,,,,,fee schedule,,731,,,,,,,fee schedule,,30,4134,
683 - Renal failure w CC,683,MS-DRG,,inpatient,,,140,140,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,46,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,42,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,46,,,,,,,fee schedule,,48,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,71,
68320 - REVISE/GRAFT EYELID LINING,68320,CPT,,both,,,18962,18962,,29387,,,,,,,case rate,,35359,,,,,,,case rate,,28547,,,,,,,case rate,,28547,,,,,,,case rate,,40920,,,,,,,case rate,,40920,,,,,,,case rate,,30543,,,,,,,case rate,,19864,,,,,,,case rate,,  ,,,,,,,case rate,,26258,,,,,,,case rate,,26258,,,,,,,case rate,,26258,,,,,,,case rate,,26783,,,,,,,case rate,,26258,,,,,,,case rate,,26258,,,,,,,case rate,,26258,,,,,,,case rate,,24420,,,,,,,case rate,,26258,,,,,,,case rate,,26258,,,,,,,case rate,,26258,,,,,,,case rate,,26258,,,,,,,case rate,,26783,,,,,,,case rate,,28096,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19864,40920,
68326 - REVISE/GRAFT EYELID LINING,68326,CPT,,both,,,9356,9356,,768,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,5293,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2773,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3120,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3355,,,,,,,fee schedule,,3422,,,,,,,fee schedule,,3590,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2440,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2285,,,,,,,fee schedule,,4991,,,,,,,fee schedule,,570,5293,
684 - Renal failure w/o CC/MCC,684,MS-DRG,,inpatient,,,6,6,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,3,
68440 - INCISE TEAR DUCT OPENING,68440,CPT,,both,,,16657,16657,,20472,,,,,,,case rate,,24633,,,,,,,case rate,,19887,,,,,,,case rate,,19887,,,,,,,case rate,,28507,,,,,,,case rate,,28507,,,,,,,case rate,,21278,,,,,,,case rate,,13838,,,,,,,case rate,,  ,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,19079,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,17396,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,19079,,,,,,,case rate,,20015,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13838,28507,
68530 - CLEARANCE OF TEAR DUCT,68530,CPT,,both,,,748,748,,306,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,867,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,812,,,,,,,fee schedule,,1773,,,,,,,fee schedule,,236,1880,
68700 - REPAIR TEAR DUCTS,68700,CPT,,both,,,4732,4732,,718,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2690,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2367,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2152,,,,,,,fee schedule,,2217,,,,,,,fee schedule,,4842,,,,,,,fee schedule,,576,4842,
68761 - CLOSE TEAR DUCT OPENING,68761,CPT,,both,,,629,629,,141,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,273,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,240,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,225,,,,,,,fee schedule,,491,,,,,,,fee schedule,,99,1880,
68770 - CLOSE TEAR SYSTEM FISTULA,68770,CPT,,both,,,6562,6562,,746,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1166,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,1026,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,933,,,,,,,fee schedule,,961,,,,,,,fee schedule,,2098,,,,,,,fee schedule,,561,4134,
68801 - DILATE TEAR DUCT OPENING,68801,CPT,,both,,,500,500,,104,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,572,,,,,,,fee schedule,,572,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,406,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,337,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,362,,,,,,,fee schedule,,370,,,,,,,fee schedule,,388,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,358,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,335,,,,,,,fee schedule,,731,,,,,,,fee schedule,,64,4134,
68810 - PROBE NASOLACRIMAL DUCT,68810,CPT,,both,,,800,800,,181,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,240,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,225,,,,,,,fee schedule,,491,,,,,,,fee schedule,,118,1880,
68811 - PROBE NASOLACRIMAL DUCT,68811,CPT,,both,,,5073,5073,,199,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,985,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,3202,
68815 - PROBE NASOLACRIMAL DUCT,68815,CPT,,both,,,4547,4547,,265,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2415,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1932,,,,,,,fee schedule,,1990,,,,,,,fee schedule,,4348,,,,,,,fee schedule,,261,4348,
68840 - EXPLORE/IRRIGATE TEAR DUCTS,68840,CPT,,both,,,30451,30451,,20659,,,,,,,case rate,,24858,,,,,,,case rate,,20069,,,,,,,case rate,,20069,,,,,,,case rate,,28767,,,,,,,case rate,,28767,,,,,,,case rate,,21472,,,,,,,case rate,,13965,,,,,,,case rate,,  ,,,,,,,case rate,,18864,,,,,,,case rate,,18864,,,,,,,case rate,,18864,,,,,,,case rate,,19241,,,,,,,case rate,,18864,,,,,,,case rate,,18864,,,,,,,case rate,,18864,,,,,,,case rate,,17543,,,,,,,case rate,,18864,,,,,,,case rate,,18864,,,,,,,case rate,,18864,,,,,,,case rate,,18864,,,,,,,case rate,,19241,,,,,,,case rate,,20184,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13965,28767,
689 - Kidney & urinary tract infections w MCC,689,MS-DRG,,inpatient,,,295,295,,40,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,40,176,
690 - Kidney & urinary tract infections w/o MCC,690,MS-DRG,,inpatient,,,627,627,,40,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,40,40,
69000 - DRAIN EXTERNAL EAR LESION,69000,CPT,,both,,,776,776,,110,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,464,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,408,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,382,,,,,,,fee schedule,,835,,,,,,,fee schedule,,86,1880,
69020 - DRAIN OUTER EAR CANAL LESION,69020,CPT,,both,,,1785,1785,,132,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,983,,,,,,,fee schedule,,983,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,464,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,579,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,623,,,,,,,fee schedule,,635,,,,,,,fee schedule,,666,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,408,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,371,,,,,,,fee schedule,,382,,,,,,,fee schedule,,835,,,,,,,fee schedule,,96,1880,
69200 - CLEAR OUTER EAR CANAL,69200,CPT,,both,,,384,384,,44,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,195,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,171,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,160,,,,,,,fee schedule,,350,,,,,,,fee schedule,,44,1880,
69205 - CLEAR OUTER EAR CANAL,69205,CPT,,both,,,2072,2072,,94,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,2271,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1695,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1338,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1439,,,,,,,fee schedule,,1468,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1492,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1356,,,,,,,fee schedule,,1397,,,,,,,fee schedule,,3052,,,,,,,fee schedule,,94,3052,
69209 - REMOVE IMPACTED EAR WAX UNI,69209,CPT,,both,,,136,136,,12,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,195,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,171,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,160,,,,,,,fee schedule,,350,,,,,,,fee schedule,,12,1880,
69210 - REMOVE IMPACTED EAR WAX UNI,69210,CPT,,both,,,177,177,,30,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,195,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,171,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,160,,,,,,,fee schedule,,350,,,,,,,fee schedule,,30,1880,
69220 - CLEAN OUT MASTOID CAVITY,69220,CPT,,both,,,267,267,,48,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,462,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,407,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,370,,,,,,,fee schedule,,381,,,,,,,fee schedule,,832,,,,,,,fee schedule,,48,1880,
69222 - CLEAN OUT MASTOID CAVITY,69222,CPT,,both,,,1416,1416,,128,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,692,,,,,,,fee schedule,,692,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1806,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,408,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,469,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1589,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1488,,,,,,,fee schedule,,3251,,,,,,,fee schedule,,128,3251,
69310 - REBUILD OUTER EAR CANAL,69310,CPT,,both,,,12812,12812,,1020,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3790,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3549,,,,,,,fee schedule,,7753,,,,,,,fee schedule,,907,8086,
694 - Urinary stones w/o MCC,694,MS-DRG,,inpatient,,,59,59,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,17,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,19,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,17,28,
69421 - INCISION OF EARDRUM,69421,CPT,,both,,,6826,6826,,139,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,139,4308,
69424 - REMOVE VENTILATING TUBE,69424,CPT,,both,,,6826,6826,,58,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2380,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,2094,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1961,,,,,,,fee schedule,,4284,,,,,,,fee schedule,,58,4308,
69433 - CREATE EARDRUM OPENING,69433,CPT,,both,,,1725,1725,,124,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,692,,,,,,,fee schedule,,692,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,1806,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,408,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,469,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1589,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1445,,,,,,,fee schedule,,1488,,,,,,,fee schedule,,3251,,,,,,,fee schedule,,104,4134,
69436 - CREATE EARDRUM OPENING,69436,CPT,,both,,,3331,3331,,149,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1586,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1396,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1269,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,2855,,,,,,,fee schedule,,149,3535,
696 - Kidney & urinary tract signs & symptoms w/o MCC,696,MS-DRG,,inpatient,,,50,50,,11,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,11,
69610 - REPAIR OF EARDRUM,69610,CPT,,both,,,3331,3331,,271,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2380,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,2094,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1904,,,,,,,fee schedule,,1961,,,,,,,fee schedule,,4284,,,,,,,fee schedule,,271,4284,
69620 - REPAIR OF EARDRUM,69620,CPT,,both,,,6826,6826,,456,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2124,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1869,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1700,,,,,,,fee schedule,,1751,,,,,,,fee schedule,,3824,,,,,,,fee schedule,,395,4308,
69661 - REVISE MIDDLE EAR BONE,69661,CPT,,both,,,12812,12812,,1127,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4307,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3790,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3446,,,,,,,fee schedule,,3549,,,,,,,fee schedule,,7753,,,,,,,fee schedule,,1127,8086,
69670 - REMOVE MASTOID AIR CELLS,69670,CPT,,both,,,60870,60870,,51302,,,,,,,case rate,,61729,,,,,,,case rate,,49836,,,,,,,case rate,,49836,,,,,,,case rate,,71437,,,,,,,case rate,,71437,,,,,,,case rate,,53321,,,,,,,case rate,,34678,,,,,,,case rate,,  ,,,,,,,case rate,,44825,,,,,,,case rate,,44825,,,,,,,case rate,,44825,,,,,,,case rate,,45722,,,,,,,case rate,,44825,,,,,,,case rate,,44825,,,,,,,case rate,,44825,,,,,,,case rate,,41687,,,,,,,case rate,,44825,,,,,,,case rate,,44825,,,,,,,case rate,,44825,,,,,,,case rate,,44825,,,,,,,case rate,,45722,,,,,,,case rate,,47963,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34678,71437,
69714 - IMPL OI IMPLT SKULL PERQ ESP,69714,CPT,,both,,,41216,41216,,543,,,,,,,fee schedule,,6850,,,,,,,fee schedule,,26012,,,,,,,fee schedule,,26012,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16816,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,15332,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16816,,,,,,,fee schedule,,17640,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,543,26012,
698 - Other kidney & urinary tract diagnoses w MCC,698,MS-DRG,,inpatient,,,1166,1166,,126,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,692,,,,,,,fee schedule,,692,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,408,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,438,,,,,,,fee schedule,,447,,,,,,,fee schedule,,469,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,126,692,
699 - Other kidney & urinary tract diagnoses w CC,699,MS-DRG,,inpatient,,,189,189,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
69990 - MICROSURGERY ADD-ON,69990,CPT,,both,,,18830,18830,,18469,,,,,,,case rate,,22223,,,,,,,case rate,,17942,,,,,,,case rate,,17942,,,,,,,case rate,,25718,,,,,,,case rate,,25718,,,,,,,case rate,,19196,,,,,,,case rate,,12485,,,,,,,case rate,,  ,,,,,,,case rate,,17009,,,,,,,case rate,,17009,,,,,,,case rate,,17009,,,,,,,case rate,,17349,,,,,,,case rate,,17009,,,,,,,case rate,,17009,,,,,,,case rate,,17009,,,,,,,case rate,,15818,,,,,,,case rate,,17009,,,,,,,case rate,,17009,,,,,,,case rate,,17009,,,,,,,case rate,,17009,,,,,,,case rate,,17349,,,,,,,case rate,,18199,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12485,25718,
700 - Other kidney & urinary tract diagnoses w/o CC/MCC,700,MS-DRG,,inpatient,,,84,84,,6,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,13,
70100 - X-RAY EXAM OF JAW <4VIEWS,70100,CPT,,both,,,50,50,,5,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,63,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,5,114,
70110 - X-RAY EXAM OF JAW 4/> VIEWS,70110,CPT,,both,,,98,98,,7,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
70130 - X-RAY EXAM OF MASTOIDS,70130,CPT,,both,,,64,64,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,51,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,3,92,
70140 - X-RAY EXAM OF FACIAL BONES,70140,CPT,,both,,,122,122,,6,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,41,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,6,74,
70150 - X-RAY EXAM OF FACIAL BONES,70150,CPT,,both,,,67,67,,4,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
70160 - X-RAY EXAM OF NASAL BONES,70160,CPT,,both,,,75,75,,5,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,41,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,4,74,
70200 - X-RAY EXAM OF EYE SOCKETS,70200,CPT,,both,,,79,79,,8,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
70220 - X-RAY EXAM OF SINUSES,70220,CPT,,both,,,81,81,,7,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
70250 - X-RAY EXAM OF SKULL,70250,CPT,,both,,,77,77,,4,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,46,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,4,83,
70260 - X-RAY EXAM OF SKULL,70260,CPT,,both,,,116,116,,10,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
70330 - X-RAY EXAM OF JAW JOINTS,70330,CPT,,both,,,211,211,,6,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
70360 - X-RAY EXAM OF NECK,70360,CPT,,both,,,48,48,,5,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,37,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
70450 - CT HEAD/BRAIN W/O DYE,70450,CPT,,both,,,1275,1275,,120,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,473,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,65,1171,
70460 - CT HEAD/BRAIN W/DYE,70460,CPT,,both,,,1851,1851,,167,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
70470 - CT HEAD/BRAIN W/O & W/DYE,70470,CPT,,both,,,2036,2036,,198,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,388,,,,,,,fee schedule,,388,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
70480 - CT ORBIT/EAR/FOSSA W/O DYE,70480,CPT,,both,,,1965,1965,,182,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,95,1171,
70481 - CT ORBIT/EAR/FOSSA W/DYE,70481,CPT,,both,,,2204,2204,,286,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
70482 - CT ORBIT/EAR/FOSSA W/O&W/DYE,70482,CPT,,both,,,2275,2275,,312,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,388,,,,,,,fee schedule,,388,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
70486 - CT MAXILLOFACIAL W/O DYE,70486,CPT,,both,,,1675,1675,,145,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,44,,,,,,,fee schedule,,44,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,44,1171,
70487 - CT MAXILLOFACIAL W/DYE,70487,CPT,,both,,,1962,1962,,174,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
70488 - CT MAXILLOFACIAL W/O & W/DYE,70488,CPT,,both,,,1994,1994,,212,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,388,,,,,,,fee schedule,,388,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
70490 - CT SOFT TISSUE NECK W/O DYE,70490,CPT,,both,,,1941,1941,,182,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,95,1171,
70491 - CT SOFT TISSUE NECK W/DYE,70491,CPT,,both,,,2290,2290,,243,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,131,1171,
70496 - CT ANGIOGRAPHY HEAD,70496,CPT,,both,,,2570,2570,,304,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,196,,,,,,,fee schedule,,196,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,161,1171,
70498 - CT ANGIOGRAPHY NECK,70498,CPT,,both,,,2191,2191,,303,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,161,1171,
70540 - MRI ORBIT/FACE/NECK W/O DYE,70540,CPT,,both,,,748,748,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,208,2143,
70543 - MRI ORBT/FAC/NCK W/O &W/DYE,70543,CPT,,both,,,1416,1416,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,234,2143,
70544 - MR ANGIOGRAPHY HEAD W/O DYE,70544,CPT,,both,,,2352,2352,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,138,,,,,,,fee schedule,,138,,,,,,,fee schedule,,727,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,639,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,599,,,,,,,fee schedule,,1308,,,,,,,fee schedule,,138,2143,
70547 - MR ANGIOGRAPHY NECK W/O DYE,70547,CPT,,both,,,2352,2352,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,727,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,639,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,581,,,,,,,fee schedule,,599,,,,,,,fee schedule,,1308,,,,,,,fee schedule,,200,2143,
70551 - MRI BRAIN STEM W/O DYE,70551,CPT,,both,,,2004,2004,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,99,2143,
70553 - MRI BRAIN STEM W/O & W/DYE,70553,CPT,,both,,,5954,5954,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,200,2143,
707 - Major male pelvic procedures w CC/MCC,707,MS-DRG,,inpatient,,,159,159,,16,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,70,,,,,,,fee schedule,,70,,,,,,,fee schedule,,923,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,38,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,44,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,812,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,760,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,16,1661,
708 - Major male pelvic procedures w/o CC/MCC,708,MS-DRG,,inpatient,,,454,454,,215,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,313,
71045 - X-RAY EXAM CHEST 1 VIEW,71045,CPT,,both,,,49,49,,5,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
71046 - X-RAY EXAM CHEST 2 VIEWS,71046,CPT,,both,,,142,142,,3,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,3,76,
71047 - X-RAY EXAM CHEST 3 VIEWS,71047,CPT,,both,,,187,187,,8,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,41,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,8,74,
71048 - X-RAY EXAM CHEST 4+ VIEWS,71048,CPT,,both,,,405,405,,18,,,,,,,fee schedule,,31,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,353,,,,,,,fee schedule,,6,353,
711 - Testes procedures w CC/MCC,711,MS-DRG,,inpatient,,,3836,3836,,150,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,150,2421,
71100 - X-RAY EXAM RIBS UNI 2 VIEWS,71100,CPT,,both,,,21016,21016,,14341,,,,,,,case rate,,17256,,,,,,,case rate,,13931,,,,,,,case rate,,13931,,,,,,,case rate,,19970,,,,,,,case rate,,19970,,,,,,,case rate,,14906,,,,,,,case rate,,9694,,,,,,,case rate,,  ,,,,,,,case rate,,13511,,,,,,,case rate,,13511,,,,,,,case rate,,13511,,,,,,,case rate,,13781,,,,,,,case rate,,13511,,,,,,,case rate,,13511,,,,,,,case rate,,13511,,,,,,,case rate,,12565,,,,,,,case rate,,13511,,,,,,,case rate,,13511,,,,,,,case rate,,13511,,,,,,,case rate,,13511,,,,,,,case rate,,13781,,,,,,,case rate,,14457,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9694,19970,
71101 - X-RAY EXAM UNILAT RIBS/CHEST,71101,CPT,,both,,,12251,12251,,15546,,,,,,,case rate,,18706,,,,,,,case rate,,15102,,,,,,,case rate,,15102,,,,,,,case rate,,21648,,,,,,,case rate,,21648,,,,,,,case rate,,16158,,,,,,,case rate,,10509,,,,,,,case rate,,  ,,,,,,,case rate,,14532,,,,,,,case rate,,14532,,,,,,,case rate,,14532,,,,,,,case rate,,14823,,,,,,,case rate,,14532,,,,,,,case rate,,14532,,,,,,,case rate,,14532,,,,,,,case rate,,13515,,,,,,,case rate,,14532,,,,,,,case rate,,14532,,,,,,,case rate,,14532,,,,,,,case rate,,14532,,,,,,,case rate,,14823,,,,,,,case rate,,15549,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10509,21648,
71110 - X-RAY EXAM RIBS BIL 3 VIEWS,71110,CPT,,both,,,313,313,,14,,,,,,,fee schedule,,28,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,353,,,,,,,fee schedule,,14,353,
71111 - X-RAY EXAM RIBS/CHEST4/> VWS,71111,CPT,,both,,,49,49,,9,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
71120 - X-RAY EXAM BREASTBONE 2/>VWS,71120,CPT,,both,,,83,83,,  ,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
71130 - X-RAY STRENOCLAVIC JT 3/>VWS,71130,CPT,,both,,,277,277,,22,,,,,,,fee schedule,,21,,,,,,,fee schedule,,164,,,,,,,fee schedule,,164,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,233,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,106,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,97,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,106,,,,,,,fee schedule,,112,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,205,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,192,,,,,,,fee schedule,,420,,,,,,,fee schedule,,21,420,
712 - Testes procedures w/o CC/MCC,712,MS-DRG,,inpatient,,,363,363,,142,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,108,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,124,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,108,183,
71250 - CT THORAX DX C-,71250,CPT,,both,,,1540,1540,,169,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,48,1171,
71260 - CT THORAX DX C+,71260,CPT,,both,,,1695,1695,,237,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,131,1171,
71270 - CT THORAX DX C-/C+,71270,CPT,,both,,,1865,1865,,285,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,388,,,,,,,fee schedule,,388,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
71271 - CT THORAX LUNG CANCER SCR C-,71271,CPT,,both,,,12277,12277,,16109,,,,,,,case rate,,19382,,,,,,,case rate,,15648,,,,,,,case rate,,15648,,,,,,,case rate,,22431,,,,,,,case rate,,22431,,,,,,,case rate,,16742,,,,,,,case rate,,10889,,,,,,,case rate,,  ,,,,,,,case rate,,15008,,,,,,,case rate,,15008,,,,,,,case rate,,15008,,,,,,,case rate,,15309,,,,,,,case rate,,15008,,,,,,,case rate,,15008,,,,,,,case rate,,15008,,,,,,,case rate,,13958,,,,,,,case rate,,15008,,,,,,,case rate,,15008,,,,,,,case rate,,15008,,,,,,,case rate,,15008,,,,,,,case rate,,15309,,,,,,,case rate,,16059,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10889,22431,
71275 - CT ANGIOGRAPHY CHEST,71275,CPT,,both,,,3000,3000,,309,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,146,1171,
713 - Transurethral prostatectomy w CC/MCC,713,MS-DRG,,inpatient,,,243,243,,244,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,313,
714 - Transurethral prostatectomy w/o CC/MCC,714,MS-DRG,,inpatient,,,1346,1346,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,95,,,,,,,fee schedule,,95,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,61,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,56,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,61,,,,,,,fee schedule,,64,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,56,95,
715 - Other male reproductive system O.R. proc for malignancy w CC/MCC,715,MS-DRG,,inpatient,,,4141,4141,,724,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,724,2613,
71550 - MRI CHEST W/O DYE,71550,CPT,,both,,,398,398,,59,,,,,,,fee schedule,,139,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,131,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,115,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,108,,,,,,,fee schedule,,236,,,,,,,fee schedule,,59,236,
71552 - MRI CHEST W/O & W/DYE,71552,CPT,,both,,,5270,5270,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,329,2143,
718 - Other male reproductive system O.R. proc exc malign w/o CC/MCC,718,MS-DRG,,inpatient,,,279,279,,107,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,57,176,
72040 - X-RAY EXAM NECK SPINE 2-3 VW,72040,CPT,,both,,,70,70,,6,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
72050 - X-RAY EXAM NECK SPINE 4/5VWS,72050,CPT,,both,,,103,103,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,9,92,
72070 - X-RAY EXAM THORAC SPINE 2VWS,72070,CPT,,both,,,348,348,,28,,,,,,,fee schedule,,22,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,22,132,
72082 - X-RAY EXAM ENTIRE SPI 2/3 VW,72082,CPT,,both,,,81,81,,8,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,77,,,,,,,fee schedule,,77,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,77,
72083 - X-RAY EXAM ENTIRE SPI 4/5 VW,72083,CPT,,both,,,404,404,,17,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,175,,,,,,,fee schedule,,175,,,,,,,fee schedule,,42,,,,,,,fee schedule,,44,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,17,175,
72100 - X-RAY EXAM L-S SPINE 2/3 VWS,72100,CPT,,both,,,86,86,,6,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,46,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,6,83,
72110 - X-RAY EXAM L-2 SPINE 4/>VWS,72110,CPT,,both,,,187,187,,11,,,,,,,fee schedule,,31,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
72114 - X-RAY EXAM L-S SPINE BENDING,72114,CPT,,both,,,112,112,,8,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
72120 - X-RAY BEND ONLY L-S SPINE,72120,CPT,,both,,,223,223,,32,,,,,,,fee schedule,,22,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,70,,,,,,,fee schedule,,88,,,,,,,fee schedule,,88,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,22,132,
72125 - CT NECK SPINE W/O DYE,72125,CPT,,both,,,1204,1204,,171,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,110,,,,,,,fee schedule,,110,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,95,1171,
72126 - CT NECK SPINE W/DYE,72126,CPT,,both,,,1296,1296,,237,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,237,1171,
72128 - CT CHEST SPINE W/O DYE,72128,CPT,,both,,,1423,1423,,168,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,95,1171,
72129 - CT CHEST SPINE W/DYE,72129,CPT,,both,,,2225,2225,,237,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
72131 - CT LUMBAR SPINE W/O DYE,72131,CPT,,both,,,1423,1423,,168,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,110,,,,,,,fee schedule,,110,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,95,1171,
72132 - CT LUMBAR SPINE W/DYE,72132,CPT,,both,,,2210,2210,,236,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,236,1171,
72133 - CT LUMBAR SPINE W/O & W/DYE,72133,CPT,,both,,,22489,22489,,21141,,,,,,,case rate,,25438,,,,,,,case rate,,20537,,,,,,,case rate,,20537,,,,,,,case rate,,29439,,,,,,,case rate,,29439,,,,,,,case rate,,21973,,,,,,,case rate,,14291,,,,,,,case rate,,  ,,,,,,,case rate,,19272,,,,,,,case rate,,19272,,,,,,,case rate,,19272,,,,,,,case rate,,19658,,,,,,,case rate,,19272,,,,,,,case rate,,19272,,,,,,,case rate,,19272,,,,,,,case rate,,17923,,,,,,,case rate,,19272,,,,,,,case rate,,19272,,,,,,,case rate,,19272,,,,,,,case rate,,19272,,,,,,,case rate,,19658,,,,,,,case rate,,20621,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14291,29439,
72141 - MRI NECK SPINE W/O DYE,72141,CPT,,both,,,3545,3545,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,93,2143,
72146 - MRI CHEST SPINE W/O DYE,72146,CPT,,both,,,3545,3545,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,96,2143,
72148 - MRI LUMBAR SPINE W/O DYE,72148,CPT,,both,,,3545,3545,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,131,2143,
72156 - MRI NECK SPINE W/O & W/DYE,72156,CPT,,both,,,3899,3899,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,329,2143,
72157 - MRI CHEST SPINE W/O & W/DYE,72157,CPT,,both,,,3899,3899,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,205,2143,
72158 - MRI LUMBAR SPINE W/O & W/DYE,72158,CPT,,both,,,3899,3899,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,203,,,,,,,fee schedule,,203,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,203,2143,
72170 - X-RAY EXAM OF PELVIS,72170,CPT,,both,,,69,69,,  ,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,17,
72190 - X-RAY EXAM OF PELVIS,72190,CPT,,both,,,139,139,,5,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,64,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,115,,,,,,,fee schedule,,5,115,
72191 - CT ANGIOGRAPH PELV W/O&W/DYE,72191,CPT,,both,,,2033,2033,,315,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,161,1171,
72192 - CT PELVIS W/O DYE,72192,CPT,,both,,,1709,1709,,150,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,40,,,,,,,fee schedule,,40,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,40,1171,
72193 - CT PELVIS W/DYE,72193,CPT,,both,,,1881,1881,,234,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,248,,,,,,,fee schedule,,248,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
72194 - CT PELVIS W/O & W/DYE,72194,CPT,,both,,,2069,2069,,270,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,388,,,,,,,fee schedule,,388,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,161,1171,
72195 - MRI PELVIS W/O DYE,72195,CPT,,both,,,2996,2996,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,143,,,,,,,fee schedule,,143,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,143,2143,
72197 - MRI PELVIS W/O & W/DYE,72197,CPT,,both,,,3495,3495,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,233,,,,,,,fee schedule,,233,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,233,2143,
"722 - Malignancy, male reproductive system w MCC",722,MS-DRG,,inpatient,,,3155,3155,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1431,,,,,,,fee schedule,,1431,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1431,1431,
72200 - X-RAY EXAM SI JOINTS,72200,CPT,,both,,,81,81,,5,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,64,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,115,,,,,,,fee schedule,,5,115,
72202 - X-RAY EXAM SI JOINTS 3/> VWS,72202,CPT,,both,,,216,216,,21,,,,,,,fee schedule,,18,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,18,132,
72220 - X-RAY EXAM SACRUM TAILBONE,72220,CPT,,both,,,65,65,,5,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,5,92,
72265 - MYELOGRAPHY L-S SPINE,72265,CPT,,both,,,124,124,,34,,,,,,,fee schedule,,80,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,30,222,
"723 - Malignancy, male reproductive system w CC",723,MS-DRG,,inpatient,,,256,256,,144,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,144,160,
726 - Benign prostatic hypertrophy w/o MCC,726,MS-DRG,,inpatient,,,19,19,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,11,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10,16,
728 - Inflammation of the male reproductive system w/o MCC,728,MS-DRG,,inpatient,,,545,545,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,37,
730 - Other male reproductive system diagnoses w/o CC/MCC,730,MS-DRG,,inpatient,,,12,12,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2,4,
73000 - X-RAY EXAM OF COLLAR BONE,73000,CPT,,both,,,13867,13867,,13798,,,,,,,case rate,,16602,,,,,,,case rate,,13404,,,,,,,case rate,,13404,,,,,,,case rate,,19213,,,,,,,case rate,,19213,,,,,,,case rate,,14341,,,,,,,case rate,,9327,,,,,,,case rate,,  ,,,,,,,case rate,,13051,,,,,,,case rate,,13051,,,,,,,case rate,,13051,,,,,,,case rate,,13312,,,,,,,case rate,,13051,,,,,,,case rate,,13051,,,,,,,case rate,,13051,,,,,,,case rate,,12137,,,,,,,case rate,,13051,,,,,,,case rate,,13051,,,,,,,case rate,,13051,,,,,,,case rate,,13051,,,,,,,case rate,,13312,,,,,,,case rate,,13964,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9327,19213,
73010 - X-RAY EXAM OF SHOULDER BLADE,73010,CPT,,both,,,18538,18538,,15538,,,,,,,case rate,,18696,,,,,,,case rate,,15094,,,,,,,case rate,,15094,,,,,,,case rate,,21637,,,,,,,case rate,,21637,,,,,,,case rate,,16150,,,,,,,case rate,,10503,,,,,,,case rate,,  ,,,,,,,case rate,,14525,,,,,,,case rate,,14525,,,,,,,case rate,,14525,,,,,,,case rate,,14816,,,,,,,case rate,,14525,,,,,,,case rate,,14525,,,,,,,case rate,,14525,,,,,,,case rate,,13509,,,,,,,case rate,,14525,,,,,,,case rate,,14525,,,,,,,case rate,,14525,,,,,,,case rate,,14525,,,,,,,case rate,,14816,,,,,,,case rate,,15542,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10503,21637,
73020 - X-RAY EXAM OF SHOULDER,73020,CPT,,both,,,17197,17197,,13564,,,,,,,case rate,,16320,,,,,,,case rate,,13176,,,,,,,case rate,,13176,,,,,,,case rate,,18887,,,,,,,case rate,,18887,,,,,,,case rate,,14098,,,,,,,case rate,,9169,,,,,,,case rate,,  ,,,,,,,case rate,,12852,,,,,,,case rate,,12852,,,,,,,case rate,,12852,,,,,,,case rate,,13109,,,,,,,case rate,,12852,,,,,,,case rate,,12852,,,,,,,case rate,,12852,,,,,,,case rate,,11953,,,,,,,case rate,,12852,,,,,,,case rate,,12852,,,,,,,case rate,,12852,,,,,,,case rate,,12852,,,,,,,case rate,,13109,,,,,,,case rate,,13752,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9169,18887,
73030 - X-RAY EXAM OF SHOULDER,73030,CPT,,both,,,11638,11638,,14068,,,,,,,case rate,,16927,,,,,,,case rate,,13666,,,,,,,case rate,,13666,,,,,,,case rate,,19589,,,,,,,case rate,,19589,,,,,,,case rate,,14622,,,,,,,case rate,,9509,,,,,,,case rate,,  ,,,,,,,case rate,,13280,,,,,,,case rate,,13280,,,,,,,case rate,,13280,,,,,,,case rate,,13545,,,,,,,case rate,,13280,,,,,,,case rate,,13280,,,,,,,case rate,,13280,,,,,,,case rate,,12350,,,,,,,case rate,,13280,,,,,,,case rate,,13280,,,,,,,case rate,,13280,,,,,,,case rate,,13280,,,,,,,case rate,,13545,,,,,,,case rate,,14209,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9509,19589,
73050 - X-RAY EXAM OF SHOULDERS,73050,CPT,,both,,,98,98,,12,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,123,
73060 - X-RAY EXAM OF HUMERUS,73060,CPT,,both,,,14550,14550,,14128,,,,,,,case rate,,16999,,,,,,,case rate,,13724,,,,,,,case rate,,13724,,,,,,,case rate,,19673,,,,,,,case rate,,19673,,,,,,,case rate,,14684,,,,,,,case rate,,9550,,,,,,,case rate,,  ,,,,,,,case rate,,13330,,,,,,,case rate,,13330,,,,,,,case rate,,13330,,,,,,,case rate,,13597,,,,,,,case rate,,13330,,,,,,,case rate,,13330,,,,,,,case rate,,13330,,,,,,,case rate,,12397,,,,,,,case rate,,13330,,,,,,,case rate,,13330,,,,,,,case rate,,13330,,,,,,,case rate,,13330,,,,,,,case rate,,13597,,,,,,,case rate,,14263,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9550,19673,
73070 - X-RAY EXAM OF ELBOW,73070,CPT,,both,,,12013,12013,,13755,,,,,,,case rate,,16551,,,,,,,case rate,,13362,,,,,,,case rate,,13362,,,,,,,case rate,,19154,,,,,,,case rate,,19154,,,,,,,case rate,,14297,,,,,,,case rate,,9298,,,,,,,case rate,,  ,,,,,,,case rate,,13015,,,,,,,case rate,,13015,,,,,,,case rate,,13015,,,,,,,case rate,,13275,,,,,,,case rate,,13015,,,,,,,case rate,,13015,,,,,,,case rate,,13015,,,,,,,case rate,,12104,,,,,,,case rate,,13015,,,,,,,case rate,,13015,,,,,,,case rate,,13015,,,,,,,case rate,,13015,,,,,,,case rate,,13275,,,,,,,case rate,,13926,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9298,19154,
73080 - X-RAY EXAM OF ELBOW,73080,CPT,,both,,,10662,10662,,14275,,,,,,,case rate,,17177,,,,,,,case rate,,13867,,,,,,,case rate,,13867,,,,,,,case rate,,19878,,,,,,,case rate,,19878,,,,,,,case rate,,14837,,,,,,,case rate,,9650,,,,,,,case rate,,  ,,,,,,,case rate,,13455,,,,,,,case rate,,13455,,,,,,,case rate,,13455,,,,,,,case rate,,13724,,,,,,,case rate,,13455,,,,,,,case rate,,13455,,,,,,,case rate,,13455,,,,,,,case rate,,12513,,,,,,,case rate,,13455,,,,,,,case rate,,13455,,,,,,,case rate,,13455,,,,,,,case rate,,13455,,,,,,,case rate,,13724,,,,,,,case rate,,14397,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9650,19878,
73090 - X-RAY EXAM OF FOREARM,73090,CPT,,both,,,13483,13483,,13598,,,,,,,case rate,,16362,,,,,,,case rate,,13210,,,,,,,case rate,,13210,,,,,,,case rate,,18935,,,,,,,case rate,,18935,,,,,,,case rate,,14133,,,,,,,case rate,,9192,,,,,,,case rate,,  ,,,,,,,case rate,,12882,,,,,,,case rate,,12882,,,,,,,case rate,,12882,,,,,,,case rate,,13139,,,,,,,case rate,,12882,,,,,,,case rate,,12882,,,,,,,case rate,,12882,,,,,,,case rate,,11980,,,,,,,case rate,,12882,,,,,,,case rate,,12882,,,,,,,case rate,,12882,,,,,,,case rate,,12882,,,,,,,case rate,,13139,,,,,,,case rate,,13783,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9192,18935,
73100 - X-RAY EXAM OF WRIST,73100,CPT,,both,,,16383,16383,,14148,,,,,,,case rate,,17024,,,,,,,case rate,,13744,,,,,,,case rate,,13744,,,,,,,case rate,,19701,,,,,,,case rate,,19701,,,,,,,case rate,,14705,,,,,,,case rate,,9564,,,,,,,case rate,,  ,,,,,,,case rate,,13348,,,,,,,case rate,,13348,,,,,,,case rate,,13348,,,,,,,case rate,,13614,,,,,,,case rate,,13348,,,,,,,case rate,,13348,,,,,,,case rate,,13348,,,,,,,case rate,,12413,,,,,,,case rate,,13348,,,,,,,case rate,,13348,,,,,,,case rate,,13348,,,,,,,case rate,,13348,,,,,,,case rate,,13614,,,,,,,case rate,,14282,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9564,19701,
73110 - X-RAY EXAM OF WRIST,73110,CPT,,both,,,12371,12371,,14349,,,,,,,case rate,,17265,,,,,,,case rate,,13939,,,,,,,case rate,,13939,,,,,,,case rate,,19981,,,,,,,case rate,,19981,,,,,,,case rate,,14914,,,,,,,case rate,,9700,,,,,,,case rate,,  ,,,,,,,case rate,,13518,,,,,,,case rate,,13518,,,,,,,case rate,,13518,,,,,,,case rate,,13788,,,,,,,case rate,,13518,,,,,,,case rate,,13518,,,,,,,case rate,,13518,,,,,,,case rate,,12572,,,,,,,case rate,,13518,,,,,,,case rate,,13518,,,,,,,case rate,,13518,,,,,,,case rate,,13518,,,,,,,case rate,,13788,,,,,,,case rate,,14464,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9700,19981,
73120 - X-RAY EXAM OF HAND,73120,CPT,,both,,,28382,28382,,15524,,,,,,,case rate,,18679,,,,,,,case rate,,15080,,,,,,,case rate,,15080,,,,,,,case rate,,21617,,,,,,,case rate,,21617,,,,,,,case rate,,16135,,,,,,,case rate,,10494,,,,,,,case rate,,  ,,,,,,,case rate,,14513,,,,,,,case rate,,14513,,,,,,,case rate,,14513,,,,,,,case rate,,14804,,,,,,,case rate,,14513,,,,,,,case rate,,14513,,,,,,,case rate,,14513,,,,,,,case rate,,13497,,,,,,,case rate,,14513,,,,,,,case rate,,14513,,,,,,,case rate,,14513,,,,,,,case rate,,14513,,,,,,,case rate,,14804,,,,,,,case rate,,15529,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10494,21617,
73130 - X-RAY EXAM OF HAND,73130,CPT,,both,,,12408,12408,,14258,,,,,,,case rate,,17156,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,19854,,,,,,,case rate,,19854,,,,,,,case rate,,14819,,,,,,,case rate,,9638,,,,,,,case rate,,  ,,,,,,,case rate,,13441,,,,,,,case rate,,13441,,,,,,,case rate,,13441,,,,,,,case rate,,13709,,,,,,,case rate,,13441,,,,,,,case rate,,13441,,,,,,,case rate,,13441,,,,,,,case rate,,12500,,,,,,,case rate,,13441,,,,,,,case rate,,13441,,,,,,,case rate,,13441,,,,,,,case rate,,13441,,,,,,,case rate,,13709,,,,,,,case rate,,14382,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9638,19854,
73140 - X-RAY EXAM OF FINGER(S),73140,CPT,,both,,,12204,12204,,14002,,,,,,,case rate,,16848,,,,,,,case rate,,13602,,,,,,,case rate,,13602,,,,,,,case rate,,19498,,,,,,,case rate,,19498,,,,,,,case rate,,14553,,,,,,,case rate,,9465,,,,,,,case rate,,  ,,,,,,,case rate,,13224,,,,,,,case rate,,13224,,,,,,,case rate,,13224,,,,,,,case rate,,13488,,,,,,,case rate,,13224,,,,,,,case rate,,13224,,,,,,,case rate,,13224,,,,,,,case rate,,12298,,,,,,,case rate,,13224,,,,,,,case rate,,13224,,,,,,,case rate,,13224,,,,,,,case rate,,13224,,,,,,,case rate,,13488,,,,,,,case rate,,14149,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9465,19498,
73200 - CT UPPER EXTREMITY W/O DYE,73200,CPT,,both,,,15129,15129,,16677,,,,,,,case rate,,20067,,,,,,,case rate,,16200,,,,,,,case rate,,16200,,,,,,,case rate,,23223,,,,,,,case rate,,23223,,,,,,,case rate,,17333,,,,,,,case rate,,11273,,,,,,,case rate,,  ,,,,,,,case rate,,15490,,,,,,,case rate,,15490,,,,,,,case rate,,15490,,,,,,,case rate,,15800,,,,,,,case rate,,15490,,,,,,,case rate,,15490,,,,,,,case rate,,15490,,,,,,,case rate,,14406,,,,,,,case rate,,15490,,,,,,,case rate,,15490,,,,,,,case rate,,15490,,,,,,,case rate,,15490,,,,,,,case rate,,15800,,,,,,,case rate,,16574,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11273,23223,
73201 - CT UPPER EXTREMITY W/DYE,73201,CPT,,both,,,20441,20441,,21306,,,,,,,case rate,,25636,,,,,,,case rate,,20697,,,,,,,case rate,,20697,,,,,,,case rate,,29669,,,,,,,case rate,,29669,,,,,,,case rate,,22145,,,,,,,case rate,,14402,,,,,,,case rate,,  ,,,,,,,case rate,,19412,,,,,,,case rate,,19412,,,,,,,case rate,,19412,,,,,,,case rate,,19800,,,,,,,case rate,,19412,,,,,,,case rate,,19412,,,,,,,case rate,,19412,,,,,,,case rate,,18053,,,,,,,case rate,,19412,,,,,,,case rate,,19412,,,,,,,case rate,,19412,,,,,,,case rate,,19412,,,,,,,case rate,,19800,,,,,,,case rate,,20771,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14402,29669,
73206 - CT ANGIO UPR EXTRM W/O&W/DYE,73206,CPT,,both,,,2107,2107,,337,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,161,1171,
73218 - MRI UPPER EXTREMITY W/O DYE,73218,CPT,,both,,,16189,16189,,22244,,,,,,,case rate,,26765,,,,,,,case rate,,21608,,,,,,,case rate,,21608,,,,,,,case rate,,30974,,,,,,,case rate,,30974,,,,,,,case rate,,23119,,,,,,,case rate,,15036,,,,,,,case rate,,  ,,,,,,,case rate,,20207,,,,,,,case rate,,20207,,,,,,,case rate,,20207,,,,,,,case rate,,20611,,,,,,,case rate,,20207,,,,,,,case rate,,20207,,,,,,,case rate,,20207,,,,,,,case rate,,18792,,,,,,,case rate,,20207,,,,,,,case rate,,20207,,,,,,,case rate,,20207,,,,,,,case rate,,20207,,,,,,,case rate,,20611,,,,,,,case rate,,21621,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15036,30974,
73220 - MRI UPPR EXTREMITY W/O&W/DYE,73220,CPT,,both,,,9496,9496,,25350,,,,,,,case rate,,30501,,,,,,,case rate,,24625,,,,,,,case rate,,24625,,,,,,,case rate,,35299,,,,,,,case rate,,35299,,,,,,,case rate,,26347,,,,,,,case rate,,17135,,,,,,,case rate,,  ,,,,,,,case rate,,22838,,,,,,,case rate,,22838,,,,,,,case rate,,22838,,,,,,,case rate,,23294,,,,,,,case rate,,22838,,,,,,,case rate,,22838,,,,,,,case rate,,22838,,,,,,,case rate,,21239,,,,,,,case rate,,22838,,,,,,,case rate,,22838,,,,,,,case rate,,22838,,,,,,,case rate,,22838,,,,,,,case rate,,23294,,,,,,,case rate,,24436,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17135,35299,
73221 - MRI JOINT UPR EXTREM W/O DYE,73221,CPT,,both,,,23024,23024,,21415,,,,,,,case rate,,25767,,,,,,,case rate,,20803,,,,,,,case rate,,20803,,,,,,,case rate,,29819,,,,,,,case rate,,29819,,,,,,,case rate,,22257,,,,,,,case rate,,14476,,,,,,,case rate,,  ,,,,,,,case rate,,19504,,,,,,,case rate,,19504,,,,,,,case rate,,19504,,,,,,,case rate,,19894,,,,,,,case rate,,19504,,,,,,,case rate,,19504,,,,,,,case rate,,19504,,,,,,,case rate,,18139,,,,,,,case rate,,19504,,,,,,,case rate,,19504,,,,,,,case rate,,19504,,,,,,,case rate,,19504,,,,,,,case rate,,19894,,,,,,,case rate,,20869,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14476,29819,
73222 - MRI JOINT UPR EXTREM W/DYE,73222,CPT,,both,,,3952,3952,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,1122,,,,,,,fee schedule,,1122,,,,,,,fee schedule,,244,,,,,,,fee schedule,,244,,,,,,,fee schedule,,851,,,,,,,fee schedule,,615,,,,,,,fee schedule,,615,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,725,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,661,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,725,,,,,,,fee schedule,,761,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,244,2143,
73223 - MRI JOINT UPR EXTR W/O&W/DYE,73223,CPT,,both,,,28913,28913,,25844,,,,,,,case rate,,31097,,,,,,,case rate,,25106,,,,,,,case rate,,25106,,,,,,,case rate,,35988,,,,,,,case rate,,35988,,,,,,,case rate,,26861,,,,,,,case rate,,17470,,,,,,,case rate,,  ,,,,,,,case rate,,23257,,,,,,,case rate,,23257,,,,,,,case rate,,23257,,,,,,,case rate,,23722,,,,,,,case rate,,23257,,,,,,,case rate,,23257,,,,,,,case rate,,23257,,,,,,,case rate,,21629,,,,,,,case rate,,23257,,,,,,,case rate,,23257,,,,,,,case rate,,23257,,,,,,,case rate,,23257,,,,,,,case rate,,23722,,,,,,,case rate,,24885,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17470,35988,
73501 - X-RAY EXAM HIP UNI 1 VIEW,73501,CPT,,both,,,74,74,,5,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,37,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
73502 - X-RAY EXAM HIP UNI 2-3 VIEWS,73502,CPT,,both,,,316,316,,30,,,,,,,fee schedule,,21,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,8,162,
73503 - X-RAY EXAM HIP UNI 4/> VIEWS,73503,CPT,,both,,,49,49,,  ,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,156,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,138,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,129,,,,,,,fee schedule,,281,,,,,,,fee schedule,,1,281,
73521 - X-RAY EXAM HIPS BI 2 VIEWS,73521,CPT,,both,,,155,155,,9,,,,,,,fee schedule,,21,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,9,222,
73522 - X-RAY EXAM HIPS BI 3-4 VIEWS,73522,CPT,,both,,,119,119,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,42,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
73551 - X-RAY EXAM OF FEMUR 1,73551,CPT,,both,,,75,75,,5,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,63,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,5,114,
73552 - X-RAY EXAM OF FEMUR 2/>,73552,CPT,,both,,,49,49,,3,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
73560 - X-RAY EXAM OF KNEE 1 OR 2,73560,CPT,,both,,,14913,14913,,14288,,,,,,,case rate,,17192,,,,,,,case rate,,13880,,,,,,,case rate,,13880,,,,,,,case rate,,19896,,,,,,,case rate,,19896,,,,,,,case rate,,14850,,,,,,,case rate,,9658,,,,,,,case rate,,  ,,,,,,,case rate,,13466,,,,,,,case rate,,13466,,,,,,,case rate,,13466,,,,,,,case rate,,13735,,,,,,,case rate,,13466,,,,,,,case rate,,13466,,,,,,,case rate,,13466,,,,,,,case rate,,12523,,,,,,,case rate,,13466,,,,,,,case rate,,13466,,,,,,,case rate,,13466,,,,,,,case rate,,13466,,,,,,,case rate,,13735,,,,,,,case rate,,14409,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9658,19896,
73562 - X-RAY EXAM OF KNEE 3,73562,CPT,,both,,,13314,13314,,14415,,,,,,,case rate,,17345,,,,,,,case rate,,14003,,,,,,,case rate,,14003,,,,,,,case rate,,20073,,,,,,,case rate,,20073,,,,,,,case rate,,14982,,,,,,,case rate,,9744,,,,,,,case rate,,  ,,,,,,,case rate,,13574,,,,,,,case rate,,13574,,,,,,,case rate,,13574,,,,,,,case rate,,13845,,,,,,,case rate,,13574,,,,,,,case rate,,13574,,,,,,,case rate,,13574,,,,,,,case rate,,12624,,,,,,,case rate,,13574,,,,,,,case rate,,13574,,,,,,,case rate,,13574,,,,,,,case rate,,13574,,,,,,,case rate,,13845,,,,,,,case rate,,14524,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9744,20073,
73564 - X-RAY EXAM KNEE 4 OR MORE,73564,CPT,,both,,,39181,39181,,15592,,,,,,,case rate,,18760,,,,,,,case rate,,15146,,,,,,,case rate,,15146,,,,,,,case rate,,21711,,,,,,,case rate,,21711,,,,,,,case rate,,16205,,,,,,,case rate,,10539,,,,,,,case rate,,  ,,,,,,,case rate,,14571,,,,,,,case rate,,14571,,,,,,,case rate,,14571,,,,,,,case rate,,14862,,,,,,,case rate,,14571,,,,,,,case rate,,14571,,,,,,,case rate,,14571,,,,,,,case rate,,13551,,,,,,,case rate,,14571,,,,,,,case rate,,14571,,,,,,,case rate,,14571,,,,,,,case rate,,14571,,,,,,,case rate,,14862,,,,,,,case rate,,15590,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10539,21711,
73590 - X-RAY EXAM OF LOWER LEG,73590,CPT,,both,,,11280,11280,,14035,,,,,,,case rate,,16887,,,,,,,case rate,,13634,,,,,,,case rate,,13634,,,,,,,case rate,,19544,,,,,,,case rate,,19544,,,,,,,case rate,,14587,,,,,,,case rate,,9487,,,,,,,case rate,,  ,,,,,,,case rate,,13252,,,,,,,case rate,,13252,,,,,,,case rate,,13252,,,,,,,case rate,,13517,,,,,,,case rate,,13252,,,,,,,case rate,,13252,,,,,,,case rate,,13252,,,,,,,case rate,,12324,,,,,,,case rate,,13252,,,,,,,case rate,,13252,,,,,,,case rate,,13252,,,,,,,case rate,,13252,,,,,,,case rate,,13517,,,,,,,case rate,,14179,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9487,19544,
73592 - X-RAY EXAM OF LEG INFANT,73592,CPT,,both,,,11784,11784,,13867,,,,,,,case rate,,16685,,,,,,,case rate,,13471,,,,,,,case rate,,13471,,,,,,,case rate,,19309,,,,,,,case rate,,19309,,,,,,,case rate,,14413,,,,,,,case rate,,9374,,,,,,,case rate,,  ,,,,,,,case rate,,13109,,,,,,,case rate,,13109,,,,,,,case rate,,13109,,,,,,,case rate,,13371,,,,,,,case rate,,13109,,,,,,,case rate,,13109,,,,,,,case rate,,13109,,,,,,,case rate,,12192,,,,,,,case rate,,13109,,,,,,,case rate,,13109,,,,,,,case rate,,13109,,,,,,,case rate,,13109,,,,,,,case rate,,13371,,,,,,,case rate,,14027,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9374,19309,
73600 - X-RAY EXAM OF ANKLE,73600,CPT,,both,,,12998,12998,,14150,,,,,,,case rate,,17025,,,,,,,case rate,,13745,,,,,,,case rate,,13745,,,,,,,case rate,,19703,,,,,,,case rate,,19703,,,,,,,case rate,,14706,,,,,,,case rate,,9565,,,,,,,case rate,,  ,,,,,,,case rate,,13349,,,,,,,case rate,,13349,,,,,,,case rate,,13349,,,,,,,case rate,,13616,,,,,,,case rate,,13349,,,,,,,case rate,,13349,,,,,,,case rate,,13349,,,,,,,case rate,,12414,,,,,,,case rate,,13349,,,,,,,case rate,,13349,,,,,,,case rate,,13349,,,,,,,case rate,,13349,,,,,,,case rate,,13616,,,,,,,case rate,,14283,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9565,19703,
73610 - X-RAY EXAM OF ANKLE,73610,CPT,,both,,,10927,10927,,14286,,,,,,,case rate,,17190,,,,,,,case rate,,13878,,,,,,,case rate,,13878,,,,,,,case rate,,19893,,,,,,,case rate,,19893,,,,,,,case rate,,14848,,,,,,,case rate,,9657,,,,,,,case rate,,  ,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,13734,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,12522,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,13734,,,,,,,case rate,,14407,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9657,19893,
73620 - X-RAY EXAM OF FOOT,73620,CPT,,both,,,23938,23938,,13608,,,,,,,case rate,,16373,,,,,,,case rate,,13219,,,,,,,case rate,,13219,,,,,,,case rate,,18949,,,,,,,case rate,,18949,,,,,,,case rate,,14143,,,,,,,case rate,,9198,,,,,,,case rate,,  ,,,,,,,case rate,,12890,,,,,,,case rate,,12890,,,,,,,case rate,,12890,,,,,,,case rate,,13148,,,,,,,case rate,,12890,,,,,,,case rate,,12890,,,,,,,case rate,,12890,,,,,,,case rate,,11987,,,,,,,case rate,,12890,,,,,,,case rate,,12890,,,,,,,case rate,,12890,,,,,,,case rate,,12890,,,,,,,case rate,,13148,,,,,,,case rate,,13792,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9198,18949,
73630 - X-RAY EXAM OF FOOT,73630,CPT,,both,,,162984,162984,,14096,,,,,,,case rate,,16961,,,,,,,case rate,,13693,,,,,,,case rate,,13693,,,,,,,case rate,,19629,,,,,,,case rate,,19629,,,,,,,case rate,,14651,,,,,,,case rate,,9529,,,,,,,case rate,,  ,,,,,,,case rate,,13304,,,,,,,case rate,,13304,,,,,,,case rate,,13304,,,,,,,case rate,,13570,,,,,,,case rate,,13304,,,,,,,case rate,,13304,,,,,,,case rate,,13304,,,,,,,case rate,,12372,,,,,,,case rate,,13304,,,,,,,case rate,,13304,,,,,,,case rate,,13304,,,,,,,case rate,,13304,,,,,,,case rate,,13570,,,,,,,case rate,,14235,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9529,19629,
73650 - X-RAY EXAM OF HEEL,73650,CPT,,both,,,8554,8554,,13682,,,,,,,case rate,,16462,,,,,,,case rate,,13291,,,,,,,case rate,,13291,,,,,,,case rate,,19051,,,,,,,case rate,,19051,,,,,,,case rate,,14220,,,,,,,case rate,,9248,,,,,,,case rate,,  ,,,,,,,case rate,,12952,,,,,,,case rate,,12952,,,,,,,case rate,,12952,,,,,,,case rate,,13211,,,,,,,case rate,,12952,,,,,,,case rate,,12952,,,,,,,case rate,,12952,,,,,,,case rate,,12046,,,,,,,case rate,,12952,,,,,,,case rate,,12952,,,,,,,case rate,,12952,,,,,,,case rate,,12952,,,,,,,case rate,,13211,,,,,,,case rate,,13859,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9248,19051,
73660 - X-RAY EXAM OF TOE(S),73660,CPT,,both,,,14339,14339,,13897,,,,,,,case rate,,16721,,,,,,,case rate,,13500,,,,,,,case rate,,13500,,,,,,,case rate,,19351,,,,,,,case rate,,19351,,,,,,,case rate,,14444,,,,,,,case rate,,9394,,,,,,,case rate,,  ,,,,,,,case rate,,13135,,,,,,,case rate,,13135,,,,,,,case rate,,13135,,,,,,,case rate,,13397,,,,,,,case rate,,13135,,,,,,,case rate,,13135,,,,,,,case rate,,13135,,,,,,,case rate,,12215,,,,,,,case rate,,13135,,,,,,,case rate,,13135,,,,,,,case rate,,13135,,,,,,,case rate,,13135,,,,,,,case rate,,13397,,,,,,,case rate,,14054,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9394,19351,
73700 - CT LOWER EXTREMITY W/O DYE,73700,CPT,,both,,,14285,14285,,16679,,,,,,,case rate,,20068,,,,,,,case rate,,16202,,,,,,,case rate,,16202,,,,,,,case rate,,23225,,,,,,,case rate,,23225,,,,,,,case rate,,17335,,,,,,,case rate,,11274,,,,,,,case rate,,  ,,,,,,,case rate,,15491,,,,,,,case rate,,15491,,,,,,,case rate,,15491,,,,,,,case rate,,15801,,,,,,,case rate,,15491,,,,,,,case rate,,15491,,,,,,,case rate,,15491,,,,,,,case rate,,14407,,,,,,,case rate,,15491,,,,,,,case rate,,15491,,,,,,,case rate,,15491,,,,,,,case rate,,15491,,,,,,,case rate,,15801,,,,,,,case rate,,16576,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11274,23225,
73701 - CT LOWER EXTREMITY W/DYE,73701,CPT,,both,,,16882,16882,,18667,,,,,,,case rate,,22461,,,,,,,case rate,,18134,,,,,,,case rate,,18134,,,,,,,case rate,,25994,,,,,,,case rate,,25994,,,,,,,case rate,,19402,,,,,,,case rate,,12618,,,,,,,case rate,,  ,,,,,,,case rate,,17176,,,,,,,case rate,,17176,,,,,,,case rate,,17176,,,,,,,case rate,,17520,,,,,,,case rate,,17176,,,,,,,case rate,,17176,,,,,,,case rate,,17176,,,,,,,case rate,,15974,,,,,,,case rate,,17176,,,,,,,case rate,,17176,,,,,,,case rate,,17176,,,,,,,case rate,,17176,,,,,,,case rate,,17520,,,,,,,case rate,,18379,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12618,25994,
73706 - CT ANGIO LWR EXTR W/O&W/DYE,73706,CPT,,both,,,1792,1792,,342,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,161,1171,
73718 - MRI LOWER EXTREMITY W/O DYE,73718,CPT,,both,,,17627,17627,,22257,,,,,,,case rate,,26780,,,,,,,case rate,,21620,,,,,,,case rate,,21620,,,,,,,case rate,,30992,,,,,,,case rate,,30992,,,,,,,case rate,,23132,,,,,,,case rate,,15045,,,,,,,case rate,,  ,,,,,,,case rate,,20217,,,,,,,case rate,,20217,,,,,,,case rate,,20217,,,,,,,case rate,,20622,,,,,,,case rate,,20217,,,,,,,case rate,,20217,,,,,,,case rate,,20217,,,,,,,case rate,,18802,,,,,,,case rate,,20217,,,,,,,case rate,,20217,,,,,,,case rate,,20217,,,,,,,case rate,,20217,,,,,,,case rate,,20622,,,,,,,case rate,,21632,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15045,30992,
73720 - MRI LWR EXTREMITY W/O&W/DYE,73720,CPT,,both,,,33779,33779,,25441,,,,,,,case rate,,30611,,,,,,,case rate,,24713,,,,,,,case rate,,24713,,,,,,,case rate,,35426,,,,,,,case rate,,35426,,,,,,,case rate,,26442,,,,,,,case rate,,17197,,,,,,,case rate,,  ,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,23373,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,21311,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,23373,,,,,,,case rate,,24519,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17197,35426,
73721 - MRI JNT OF LWR EXTRE W/O DYE,73721,CPT,,both,,,509,509,,38,,,,,,,fee schedule,,128,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,78,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,69,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,64,,,,,,,fee schedule,,140,,,,,,,fee schedule,,34,140,
73723 - MRI JOINT LWR EXTR W/O&W/DYE,73723,CPT,,both,,,5290,5290,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,329,2143,
74018 - X-RAY EXAM ABDOMEN 1 VIEW,74018,CPT,,both,,,46,46,,4,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,64,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,115,,,,,,,fee schedule,,4,115,
74019 - X-RAY EXAM ABDOMEN 2 VIEWS,74019,CPT,,both,,,92,92,,6,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
74021 - X-RAY EXAM ABDOMEN 3+ VIEWS,74021,CPT,,both,,,57,57,,  ,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
74022 - X-RAY EXAM COMPLETE ABDOMEN,74022,CPT,,both,,,131,131,,4,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,42,
"741 - Uterine, adnexa proc for non-ovarian/adnexal malig w/o CC/MCC",741,MS-DRG,,inpatient,,,142,142,,38,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,11,253,
74150 - CT ABDOMEN W/O DYE,74150,CPT,,both,,,1224,1224,,154,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,95,1171,
74160 - CT ABDOMEN W/DYE,74160,CPT,,both,,,2142,2142,,238,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,125,1171,
74170 - CT ABDOMEN W/O & W/DYE,74170,CPT,,both,,,2961,2961,,271,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,473,,,,,,,fee schedule,,388,,,,,,,fee schedule,,388,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,146,1171,
74174 - CT ANGIO ABD&PELV W/O&W/DYE,74174,CPT,,both,,,2183,2183,,402,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,500,,,,,,,fee schedule,,541,,,,,,,fee schedule,,541,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,329,1171,
74175 - CT ANGIO ABDOM W/O & W/DYE,74175,CPT,,both,,,2455,2455,,317,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,161,1171,
74176 - CT ABD & PELVIS W/O CONTRAST,74176,CPT,,both,,,1193,1193,,206,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,61,,,,,,,fee schedule,,61,,,,,,,fee schedule,,473,,,,,,,fee schedule,,341,,,,,,,fee schedule,,341,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,61,1171,
74177 - CT ABD & PELV W/CONTRAST,74177,CPT,,both,,,2763,2763,,321,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,473,,,,,,,fee schedule,,541,,,,,,,fee schedule,,541,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,217,1171,
74178 - CT ABD & PELV 1/> REGNS,74178,CPT,,both,,,3040,3040,,365,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,473,,,,,,,fee schedule,,541,,,,,,,fee schedule,,541,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,205,1171,
74181 - MRI ABDOMEN W/O DYE,74181,CPT,,both,,,5549,5549,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,910,,,,,,,fee schedule,,910,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,208,2143,
74182 - MRI ABDOMEN W/DYE,74182,CPT,,both,,,2851,2851,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,851,,,,,,,fee schedule,,615,,,,,,,fee schedule,,615,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,329,2143,
74183 - MRI ABDOMEN W/O & W/DYE,74183,CPT,,both,,,5496,5496,,371,,,,,,,fee schedule,,2143,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,1077,,,,,,,fee schedule,,851,,,,,,,fee schedule,,696,,,,,,,fee schedule,,696,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,749,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,681,,,,,,,fee schedule,,701,,,,,,,fee schedule,,1532,,,,,,,fee schedule,,329,2143,
742 - Uterine & adnexa proc for non-malignancy w CC/MCC,742,MS-DRG,,inpatient,,,1500,1500,,203,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,947,,,,,,,fee schedule,,947,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,558,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,642,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,203,947,
74220 - X-RAY XM ESOPHAGUS 1CNTRST,74220,CPT,,both,,,138,138,,13,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,42,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,3,76,
74240 - X-RAY XM UPR GI TRC 1CNTRST,74240,CPT,,both,,,1012,1012,,105,,,,,,,fee schedule,,68,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,347,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,68,624,
74248 - X-RAY SM INT F-THRU STD,74248,CPT,,both,,,5271,5271,,11789,,,,,,,case rate,,14185,,,,,,,case rate,,11452,,,,,,,case rate,,11452,,,,,,,case rate,,16416,,,,,,,case rate,,16416,,,,,,,case rate,,12253,,,,,,,case rate,,7969,,,,,,,case rate,,  ,,,,,,,case rate,,11349,,,,,,,case rate,,11349,,,,,,,case rate,,11349,,,,,,,case rate,,11576,,,,,,,case rate,,11349,,,,,,,case rate,,11349,,,,,,,case rate,,11349,,,,,,,case rate,,10554,,,,,,,case rate,,11349,,,,,,,case rate,,11349,,,,,,,case rate,,11349,,,,,,,case rate,,11349,,,,,,,case rate,,11576,,,,,,,case rate,,12143,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7969,16416,
74250 - X-RAY XM SM INT 1CNTRST STD,74250,CPT,,both,,,84,84,,10,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,84,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,8,151,
74261 - CT COLONOGRAPHY DX,74261,CPT,,both,,,1493,1493,,239,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,400,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,352,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,320,,,,,,,fee schedule,,330,,,,,,,fee schedule,,721,,,,,,,fee schedule,,95,1171,
74262 - CT COLONOGRAPHY DX W/DYE,74262,CPT,,both,,,1747,1747,,372,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,473,,,,,,,fee schedule,,347,,,,,,,fee schedule,,347,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,146,1171,
74263 - CT COLONOGRAPHY SCREENING,74263,CPT,,both,,,21814,21814,,23505,,,,,,,case rate,,28282,,,,,,,case rate,,22834,,,,,,,case rate,,22834,,,,,,,case rate,,32731,,,,,,,case rate,,32731,,,,,,,case rate,,24430,,,,,,,case rate,,15889,,,,,,,case rate,,  ,,,,,,,case rate,,21275,,,,,,,case rate,,21275,,,,,,,case rate,,21275,,,,,,,case rate,,21701,,,,,,,case rate,,21275,,,,,,,case rate,,21275,,,,,,,case rate,,21275,,,,,,,case rate,,19786,,,,,,,case rate,,21275,,,,,,,case rate,,21275,,,,,,,case rate,,21275,,,,,,,case rate,,21275,,,,,,,case rate,,21701,,,,,,,case rate,,22764,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15889,32731,
74270 - X-RAY XM COLON 1CNTRST STD,74270,CPT,,both,,,427,427,,19,,,,,,,fee schedule,,66,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,46,,,,,,,fee schedule,,46,,,,,,,fee schedule,,86,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,19,155,
743 - Uterine & adnexa proc for non-malignancy w/o CC/MCC,743,MS-DRG,,inpatient,,,627,627,,95,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,95,170,
"744 - D&c, conization, laparoscopy & tubal interruption w CC/MCC",744,MS-DRG,,inpatient,,,2598,2598,,138,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,1640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,967,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,1060,,,,,,,fee schedule,,1112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,93,1640,
74425 - UROGRAPHY ANTEGRADE RS&I,74425,CPT,,both,,,97,97,,10,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
74430 - CONTRAST X-RAY BLADDER,74430,CPT,,both,,,209,209,,9,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
74455 - X-RAY URETHRA/BLADDER,74455,CPT,,both,,,110,110,,9,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
"745 - D&c, conization, laparoscopy & tubal interruption w/o CC/MCC",745,MS-DRG,,inpatient,,,353,353,,23,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,23,132,
74740 - X-RAY FEMALE GENITAL TRACT,74740,CPT,,both,,,176,176,,11,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,42,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
748 - Female reproductive system reconstructive procedures,748,MS-DRG,,inpatient,,,224,224,,24,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,163,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,144,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,135,,,,,,,fee schedule,,294,,,,,,,fee schedule,,21,294,
"754 - Malignancy, female reproductive system w MCC",754,MS-DRG,,inpatient,,,1241,1241,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,500,,,,,,,fee schedule,,500,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,317,,,,,,,fee schedule,,317,,,,,,,fee schedule,,317,,,,,,,fee schedule,,323,,,,,,,fee schedule,,317,,,,,,,fee schedule,,317,,,,,,,fee schedule,,317,,,,,,,fee schedule,,294,,,,,,,fee schedule,,317,,,,,,,fee schedule,,317,,,,,,,fee schedule,,317,,,,,,,fee schedule,,317,,,,,,,fee schedule,,323,,,,,,,fee schedule,,339,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,621,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,582,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,294,1271,
"755 - Malignancy, female reproductive system w CC",755,MS-DRG,,inpatient,,,,,,134,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,134,139,
75572 - CT HRT W/3D IMAGE,75572,CPT,,both,,,1479,1479,,293,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,1006,,,,,,,fee schedule,,1006,,,,,,,fee schedule,,473,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,416,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,379,,,,,,,fee schedule,,390,,,,,,,fee schedule,,852,,,,,,,fee schedule,,161,1171,
75573 - CT HRT C+ STRUX CGEN HRT DS,75573,CPT,,both,,,1479,1479,,373,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,473,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,161,1171,
75574 - CT ANGIO HRT W/3D IMAGE,75574,CPT,,both,,,1407,1407,,364,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,500,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,146,1171,
"756 - Malignancy, female reproductive system w/o CC/MCC",756,MS-DRG,,inpatient,,,,,,115,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,114,115,
75625 - CONTRAST EXAM ABDOMINL AORTA,75625,CPT,,both,,,172,172,,70,,,,,,,fee schedule,,109,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,68,,,,,,,fee schedule,,72,,,,,,,fee schedule,,72,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,54,123,
75635 - CT ANGIO ABDOMINAL ARTERIES,75635,CPT,,both,,,2965,2965,,367,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,500,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,440,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,412,,,,,,,fee schedule,,901,,,,,,,fee schedule,,161,1171,
"757 - Infections, female reproductive system w MCC",757,MS-DRG,,inpatient,,,,,,281,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,281,328,
75726 - ARTERY X-RAYS ABDOMEN,75726,CPT,,both,,,120,120,,  ,,,,,,,fee schedule,,107,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
75736 - ARTERY X-RAYS PELVIS,75736,CPT,,both,,,360,360,,32,,,,,,,fee schedule,,108,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,82,,,,,,,fee schedule,,84,,,,,,,fee schedule,,84,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,32,147,
"758 - Infections, female reproductive system w CC",758,MS-DRG,,inpatient,,,234,234,,58,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,115,,,,,,,fee schedule,,115,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,68,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,74,,,,,,,fee schedule,,78,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,58,115,
75809 - NONVASCULAR SHUNT X-RAY,75809,CPT,,both,,,133,133,,14,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,42,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,76,
75825 - VEIN X-RAY TRUNK,75825,CPT,,both,,,502,502,,95,,,,,,,fee schedule,,109,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,187,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,47,336,
75833 - VEIN X-RAY KIDNEYS,75833,CPT,,both,,,48043,48043,,34239,,,,,,,case rate,,41197,,,,,,,case rate,,33260,,,,,,,case rate,,33260,,,,,,,case rate,,47677,,,,,,,case rate,,47677,,,,,,,case rate,,35586,,,,,,,case rate,,23144,,,,,,,case rate,,  ,,,,,,,case rate,,30369,,,,,,,case rate,,30369,,,,,,,case rate,,30369,,,,,,,case rate,,30976,,,,,,,case rate,,30369,,,,,,,case rate,,30369,,,,,,,case rate,,30369,,,,,,,case rate,,28243,,,,,,,case rate,,30369,,,,,,,case rate,,30369,,,,,,,case rate,,30369,,,,,,,case rate,,30369,,,,,,,case rate,,30976,,,,,,,case rate,,32494,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23144,47677,
"759 - Infections, female reproductive system w/o CC/MCC",759,MS-DRG,,inpatient,,,38,38,,7,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7,7,
760 - Menstrual & other female reproductive system disorders w CC/MCC,760,MS-DRG,,inpatient,,,627,627,,72,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,72,120,
76000 - FLUOROSCOPY <1 HR PHYS/QHP,76000,CPT,,both,,,42,42,,4,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,37,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
76098 - X-RAY EXAM SURGICAL SPECIMEN,76098,CPT,,both,,,98,98,,6,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,37,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,6,66,
761 - Menstrual & other female reproductive system disorders w/o CC/MC,761,MS-DRG,,inpatient,,,3,3,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,1,
76377 - 3D RENDER W/INTRP POSTPROCES,76377,CPT,,both,,,24326,24326,,15794,,,,,,,case rate,,19004,,,,,,,case rate,,15343,,,,,,,case rate,,15343,,,,,,,case rate,,21993,,,,,,,case rate,,21993,,,,,,,case rate,,16416,,,,,,,case rate,,10676,,,,,,,case rate,,  ,,,,,,,case rate,,14742,,,,,,,case rate,,14742,,,,,,,case rate,,14742,,,,,,,case rate,,15037,,,,,,,case rate,,14742,,,,,,,case rate,,14742,,,,,,,case rate,,14742,,,,,,,case rate,,13710,,,,,,,case rate,,14742,,,,,,,case rate,,14742,,,,,,,case rate,,14742,,,,,,,case rate,,14742,,,,,,,case rate,,15037,,,,,,,case rate,,15774,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10676,21993,
76496 - UNLISTED FLUOROSCOPIC PX,76496,CPT,,both,,,14305,14305,,16468,,,,,,,case rate,,19815,,,,,,,case rate,,15998,,,,,,,case rate,,15998,,,,,,,case rate,,22932,,,,,,,case rate,,22932,,,,,,,case rate,,17116,,,,,,,case rate,,11132,,,,,,,case rate,,  ,,,,,,,case rate,,15313,,,,,,,case rate,,15313,,,,,,,case rate,,15313,,,,,,,case rate,,15619,,,,,,,case rate,,15313,,,,,,,case rate,,15313,,,,,,,case rate,,15313,,,,,,,case rate,,14241,,,,,,,case rate,,15313,,,,,,,case rate,,15313,,,,,,,case rate,,15313,,,,,,,case rate,,15313,,,,,,,case rate,,15619,,,,,,,case rate,,16385,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11132,22932,
76506 - ECHO EXAM OF HEAD,76506,CPT,,both,,,856,856,,47,,,,,,,fee schedule,,63,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,316,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,278,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,260,,,,,,,fee schedule,,568,,,,,,,fee schedule,,47,798,
76512 - OPH US DX B-SCAN,76512,CPT,,both,,,1283,1283,,71,,,,,,,fee schedule,,81,,,,,,,fee schedule,,1122,,,,,,,fee schedule,,1122,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,773,,,,,,,fee schedule,,885,,,,,,,fee schedule,,885,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,725,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,661,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,711,,,,,,,fee schedule,,725,,,,,,,fee schedule,,761,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,1122,
76513 - OPH US DX ANT SGM US UNI/BI,76513,CPT,,both,,,25522,25522,,15636,,,,,,,case rate,,18813,,,,,,,case rate,,15189,,,,,,,case rate,,15189,,,,,,,case rate,,21772,,,,,,,case rate,,21772,,,,,,,case rate,,16251,,,,,,,case rate,,10569,,,,,,,case rate,,  ,,,,,,,case rate,,14608,,,,,,,case rate,,14608,,,,,,,case rate,,14608,,,,,,,case rate,,14900,,,,,,,case rate,,14608,,,,,,,case rate,,14608,,,,,,,case rate,,14608,,,,,,,case rate,,13585,,,,,,,case rate,,14608,,,,,,,case rate,,14608,,,,,,,case rate,,14608,,,,,,,case rate,,14608,,,,,,,case rate,,14900,,,,,,,case rate,,15630,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10569,21772,
76514 - ECHO EXAM OF EYE THICKNESS,76514,CPT,,both,,,113,113,,  ,,,,,,,fee schedule,,19,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,91,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,38,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,80,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,75,,,,,,,fee schedule,,164,,,,,,,fee schedule,,10,164,
76519 - ECHO EXAM OF EYE,76519,CPT,,both,,,75,75,,6,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,6,151,
76536 - US EXAM OF HEAD AND NECK,76536,CPT,,both,,,126,126,,  ,,,,,,,fee schedule,,54,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,64,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,51,160,
76604 - US EXAM CHEST,76604,CPT,,both,,,87,87,,15,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,15,74,
76641 - ULTRASOUND BREAST COMPLETE,76641,CPT,,both,,,527,527,,58,,,,,,,fee schedule,,71,,,,,,,fee schedule,,491,,,,,,,fee schedule,,491,,,,,,,fee schedule,,166,,,,,,,fee schedule,,166,,,,,,,fee schedule,,134,,,,,,,fee schedule,,265,,,,,,,fee schedule,,265,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,289,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,333,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,15,491,
76642 - ULTRASOUND BREAST LIMITED,76642,CPT,,both,,,15065,15065,,14494,,,,,,,case rate,,17439,,,,,,,case rate,,14079,,,,,,,case rate,,14079,,,,,,,case rate,,20182,,,,,,,case rate,,20182,,,,,,,case rate,,15064,,,,,,,case rate,,9797,,,,,,,case rate,,  ,,,,,,,case rate,,13640,,,,,,,case rate,,13640,,,,,,,case rate,,13640,,,,,,,case rate,,13913,,,,,,,case rate,,13640,,,,,,,case rate,,13640,,,,,,,case rate,,13640,,,,,,,case rate,,12685,,,,,,,case rate,,13640,,,,,,,case rate,,13640,,,,,,,case rate,,13640,,,,,,,case rate,,13640,,,,,,,case rate,,13913,,,,,,,case rate,,14595,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9797,20182,
76700 - US EXAM ABDOM COMPLETE,76700,CPT,,both,,,440,440,,33,,,,,,,fee schedule,,76,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,263,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,187,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,171,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,187,,,,,,,fee schedule,,197,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,231,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,216,,,,,,,fee schedule,,473,,,,,,,fee schedule,,33,473,
76705 - ECHO EXAM OF ABDOMEN,76705,CPT,,both,,,346,346,,59,,,,,,,fee schedule,,56,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,187,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,45,336,
76706 - US ABDL AORTA SCREEN AAA,76706,CPT,,both,,,216,216,,16,,,,,,,fee schedule,,54,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,16,114,
76770 - US EXAM ABDO BACK WALL COMP,76770,CPT,,both,,,201,201,,21,,,,,,,fee schedule,,71,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,42,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,19,76,
76775 - US EXAM ABDO BACK WALL LIM,76775,CPT,,both,,,116,116,,23,,,,,,,fee schedule,,56,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,23,1121,
76776 - US EXAM K TRANSPL W/DOPPLER,76776,CPT,,both,,,97,97,,53,,,,,,,fee schedule,,73,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,27,1121,
768 - Vaginal delivery w O.R. proc except steril &/or D&C,768,MS-DRG,,inpatient,,,3684,3684,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,133,,,,,,,fee schedule,,133,,,,,,,fee schedule,,133,,,,,,,fee schedule,,136,,,,,,,fee schedule,,133,,,,,,,fee schedule,,133,,,,,,,fee schedule,,133,,,,,,,fee schedule,,124,,,,,,,fee schedule,,133,,,,,,,fee schedule,,133,,,,,,,fee schedule,,133,,,,,,,fee schedule,,133,,,,,,,fee schedule,,136,,,,,,,fee schedule,,143,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,210,
76801 - OB US < 14 WKS SINGLE FETUS,76801,CPT,,both,,,633,633,,  ,,,,,,,fee schedule,,96,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,96,
76802 - OB US < 14 WKS ADDL FETUS,76802,CPT,,both,,,861,861,,171,,,,,,,fee schedule,,81,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,212,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,81,381,
76805 - OB US >= 14 WKS SNGL FETUS,76805,CPT,,both,,,400,400,,96,,,,,,,fee schedule,,98,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,58,,,,,,,fee schedule,,58,,,,,,,fee schedule,,187,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,54,336,
76810 - OB US >= 14 WKS ADDL FETUS,76810,CPT,,both,,,1326,1326,,235,,,,,,,fee schedule,,97,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,479,,,,,,,fee schedule,,479,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,97,819,
76811 - OB US DETAILED SNGL FETUS,76811,CPT,,both,,,,,,266,,,,,,,fee schedule,,184,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,433,,,,,,,fee schedule,,715,,,,,,,fee schedule,,643,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,381,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,357,,,,,,,fee schedule,,779,,,,,,,fee schedule,,184,1081,
76812 - OB US DETAILED ADDL FETUS,76812,CPT,,both,,,250,250,,105,,,,,,,fee schedule,,176,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,113,,,,,,,fee schedule,,113,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,176,
76813 - OB US NUCHAL MEAS 1 GEST,76813,CPT,,both,,,14,14,,  ,,,,,,,fee schedule,,118,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,118,
76814 - OB US NUCHAL MEAS ADD-ON,76814,CPT,,both,,,1809,1809,,72,,,,,,,fee schedule,,100,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,187,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,72,336,
76815 - OB US LIMITED FETUS(S),76815,CPT,,both,,,217,217,,19,,,,,,,fee schedule,,64,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,42,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,19,76,
76816 - OB US FOLLOW-UP PER FETUS,76816,CPT,,both,,,1128,1128,,171,,,,,,,fee schedule,,83,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,213,,,,,,,fee schedule,,213,,,,,,,fee schedule,,455,,,,,,,fee schedule,,479,,,,,,,fee schedule,,479,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,83,819,
76817 - TRANSVAGINAL US OBSTETRIC,76817,CPT,,both,,,292,292,,22,,,,,,,fee schedule,,74,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,108,,,,,,,fee schedule,,108,,,,,,,fee schedule,,63,,,,,,,fee schedule,,57,,,,,,,fee schedule,,57,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,22,114,
76818 - FETAL BIOPHYS PROFILE W/NST,76818,CPT,,both,,,107,107,,32,,,,,,,fee schedule,,108,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,82,,,,,,,fee schedule,,84,,,,,,,fee schedule,,84,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30,108,
76819 - FETAL BIOPHYS PROFIL W/O NST,76819,CPT,,both,,,566,566,,228,,,,,,,fee schedule,,76,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,249,,,,,,,fee schedule,,249,,,,,,,fee schedule,,455,,,,,,,fee schedule,,471,,,,,,,fee schedule,,471,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,76,819,
76820 - UMBILICAL ARTERY ECHO,76820,CPT,,both,,,750,750,,111,,,,,,,fee schedule,,50,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,433,,,,,,,fee schedule,,715,,,,,,,fee schedule,,643,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,381,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,357,,,,,,,fee schedule,,779,,,,,,,fee schedule,,50,1081,
76821 - MIDDLE CEREBRAL ARTERY ECHO,76821,CPT,,both,,,294,294,,67,,,,,,,fee schedule,,71,,,,,,,fee schedule,,238,,,,,,,fee schedule,,238,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,126,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,140,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,161,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,111,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,104,,,,,,,fee schedule,,227,,,,,,,fee schedule,,9,238,
76825 - ECHO EXAM OF FETAL HEART,76825,CPT,,both,,,452,452,,87,,,,,,,fee schedule,,155,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13,220,
76827 - ECHO EXAM OF FETAL HEART,76827,CPT,,both,,,1281,1281,,72,,,,,,,fee schedule,,56,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,471,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,414,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,388,,,,,,,fee schedule,,847,,,,,,,fee schedule,,56,847,
76830 - TRANSVAGINAL US NON-OB,76830,CPT,,both,,,349,349,,28,,,,,,,fee schedule,,67,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,23,222,
76831 - ECHO EXAM UTERUS,76831,CPT,,both,,,1233,1233,,226,,,,,,,fee schedule,,72,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,537,,,,,,,fee schedule,,537,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,72,819,
76856 - US EXAM PELVIC COMPLETE,76856,CPT,,both,,,625,625,,  ,,,,,,,fee schedule,,66,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1508,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1327,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1243,,,,,,,fee schedule,,2715,,,,,,,fee schedule,,1,2715,
76857 - US EXAM PELVIC LIMITED,76857,CPT,,both,,,222,222,,14,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,76,
76870 - US EXAM SCROTUM,76870,CPT,,both,,,206,206,,18,,,,,,,fee schedule,,61,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,18,114,
76872 - US TRANSRECTAL,76872,CPT,,both,,,147,147,,4,,,,,,,fee schedule,,64,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,81,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,4,145,
76881 - US COMPL JOINT R-T W/IMG,76881,CPT,,both,,,582,582,,65,,,,,,,fee schedule,,61,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,212,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,34,381,
76882 - US LMTD JT/FCL EVL NVASC XTR,76882,CPT,,both,,,134,134,,14,,,,,,,fee schedule,,47,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,76,
769 - Postpartum & post abortion diagnoses w O.R. procedure,769,MS-DRG,,inpatient,,,510,510,,238,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,185,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,199,,,,,,,fee schedule,,203,,,,,,,fee schedule,,213,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,185,392,
76942 - ECHO GUIDE FOR BIOPSY,76942,CPT,,both,,,88,88,,37,,,,,,,fee schedule,,61,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,40,,,,,,,fee schedule,,40,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,438,
76946 - ECHO GUIDE FOR AMNIOCENTESIS,76946,CPT,,both,,,109,109,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,11,114,
76981 - USE PARENCHYMA,76981,CPT,,both,,,18077,18077,,20285,,,,,,,case rate,,24408,,,,,,,case rate,,19705,,,,,,,case rate,,19705,,,,,,,case rate,,28247,,,,,,,case rate,,28247,,,,,,,case rate,,21083,,,,,,,case rate,,13712,,,,,,,case rate,,  ,,,,,,,case rate,,18547,,,,,,,case rate,,18547,,,,,,,case rate,,18547,,,,,,,case rate,,18918,,,,,,,case rate,,18547,,,,,,,case rate,,18547,,,,,,,case rate,,18547,,,,,,,case rate,,17249,,,,,,,case rate,,18547,,,,,,,case rate,,18547,,,,,,,case rate,,18547,,,,,,,case rate,,18547,,,,,,,case rate,,18918,,,,,,,case rate,,19845,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13712,28247,
"770 - Abortion w D&C, aspiration curettage or hysterotomy",770,MS-DRG,,inpatient,,,155,155,,9,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,18,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,36,,,,,,,fee schedule,,9,36,
77001 - FLUOROGUIDE FOR VEIN DEVICE,77001,CPT,,both,,,105,105,,11,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
77002 - NEEDLE LOCALIZATION BY XRAY,77002,CPT,,both,,,454,454,,91,,,,,,,fee schedule,,55,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,55,381,
77012 - CT SCAN FOR NEEDLE BIOPSY,77012,CPT,,both,,,2259,2259,,128,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,152,,,,,,,fee schedule,,152,,,,,,,fee schedule,,271,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,239,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,223,,,,,,,fee schedule,,488,,,,,,,fee schedule,,128,1171,
77061 - BREAST TOMOSYNTHESIS UNI,77061,CPT,,both,,,18633,18633,,19349,,,,,,,case rate,,23281,,,,,,,case rate,,18796,,,,,,,case rate,,18796,,,,,,,case rate,,26943,,,,,,,case rate,,26943,,,,,,,case rate,,20110,,,,,,,case rate,,13079,,,,,,,case rate,,  ,,,,,,,case rate,,17754,,,,,,,case rate,,17754,,,,,,,case rate,,17754,,,,,,,case rate,,18109,,,,,,,case rate,,17754,,,,,,,case rate,,17754,,,,,,,case rate,,17754,,,,,,,case rate,,16511,,,,,,,case rate,,17754,,,,,,,case rate,,17754,,,,,,,case rate,,17754,,,,,,,case rate,,17754,,,,,,,case rate,,18109,,,,,,,case rate,,18997,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13079,26943,
77062 - BREAST TOMOSYNTHESIS BI,77062,CPT,,both,,,22249,22249,,19352,,,,,,,case rate,,23285,,,,,,,case rate,,18799,,,,,,,case rate,,18799,,,,,,,case rate,,26948,,,,,,,case rate,,26948,,,,,,,case rate,,20114,,,,,,,case rate,,13081,,,,,,,case rate,,  ,,,,,,,case rate,,17756,,,,,,,case rate,,17756,,,,,,,case rate,,17756,,,,,,,case rate,,18112,,,,,,,case rate,,17756,,,,,,,case rate,,17756,,,,,,,case rate,,17756,,,,,,,case rate,,16514,,,,,,,case rate,,17756,,,,,,,case rate,,17756,,,,,,,case rate,,17756,,,,,,,case rate,,17756,,,,,,,case rate,,18112,,,,,,,case rate,,18999,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13081,26948,
77063 - BREAST TOMOSYNTHESIS BI,77063,CPT,,both,,,230,230,,17,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,63,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,17,114,
77065 - DX MAMMO INCL CAD UNI,77065,CPT,,both,,,687,687,,170,,,,,,,fee schedule,,79,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,828,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,79,1491,
77066 - DX MAMMO INCL CAD BI,77066,CPT,,both,,,279,279,,29,,,,,,,fee schedule,,97,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,66,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,62,,,,,,,fee schedule,,135,,,,,,,fee schedule,,29,135,
77067 - SCR MAMMO BI INCL CAD,77067,CPT,,both,,,1069,1069,,93,,,,,,,fee schedule,,73,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,61,,,,,,,fee schedule,,61,,,,,,,fee schedule,,828,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,61,1491,
77072 - X-RAYS FOR BONE AGE,77072,CPT,,both,,,320,320,,25,,,,,,,fee schedule,,18,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,132,
77073 - X-RAYS BONE LENGTH STUDIES,77073,CPT,,both,,,107,107,,4,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,4,74,
77075 - X-RAYS BONE SURVEY COMPLETE,77075,CPT,,both,,,80,80,,62,,,,,,,fee schedule,,53,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,126,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,45,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,51,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,111,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,104,,,,,,,fee schedule,,227,,,,,,,fee schedule,,6,227,
77076 - X-RAYS BONE SURVEY INFANT,77076,CPT,,both,,,16448,16448,,15617,,,,,,,case rate,,18791,,,,,,,case rate,,15170,,,,,,,case rate,,15170,,,,,,,case rate,,21746,,,,,,,case rate,,21746,,,,,,,case rate,,16231,,,,,,,case rate,,10556,,,,,,,case rate,,  ,,,,,,,case rate,,14592,,,,,,,case rate,,14592,,,,,,,case rate,,14592,,,,,,,case rate,,14884,,,,,,,case rate,,14592,,,,,,,case rate,,14592,,,,,,,case rate,,14592,,,,,,,case rate,,13570,,,,,,,case rate,,14592,,,,,,,case rate,,14592,,,,,,,case rate,,14592,,,,,,,case rate,,14592,,,,,,,case rate,,14884,,,,,,,case rate,,15613,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10556,21746,
77080 - DXA BONE DENSITY AXIAL,77080,CPT,,both,,,310,310,,12,,,,,,,fee schedule,,20,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,141,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,22,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,26,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,6,253,
77081 - DXA BONE DENSITY/PERIPHERAL,77081,CPT,,both,,,32,32,,6,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
776 - Postpartum & post abortion diagnoses w/o O.R. procedure,776,MS-DRG,,inpatient,,,70,70,,7,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7,14,
779 - Abortion w/o D&C,779,MS-DRG,,inpatient,,,229,229,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,113,,,,,,,fee schedule,,113,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,73,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,66,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,73,,,,,,,fee schedule,,76,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,66,113,
78012 - THYROID UPTAKE MEASUREMENT,78012,CPT,,both,,,21141,21141,,21975,,,,,,,case rate,,26442,,,,,,,case rate,,21347,,,,,,,case rate,,21347,,,,,,,case rate,,30600,,,,,,,case rate,,30600,,,,,,,case rate,,22840,,,,,,,case rate,,14855,,,,,,,case rate,,  ,,,,,,,case rate,,19979,,,,,,,case rate,,19979,,,,,,,case rate,,19979,,,,,,,case rate,,20379,,,,,,,case rate,,19979,,,,,,,case rate,,19979,,,,,,,case rate,,19979,,,,,,,case rate,,18580,,,,,,,case rate,,19979,,,,,,,case rate,,19979,,,,,,,case rate,,19979,,,,,,,case rate,,19979,,,,,,,case rate,,20379,,,,,,,case rate,,21377,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14855,30600,
78014 - THYROID IMAGING W/BLOOD FLOW,78014,CPT,,both,,,220,220,,13,,,,,,,fee schedule,,47,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,13,76,
78018 - THYROID MET IMAGING BODY,78018,CPT,,both,,,362,362,,109,,,,,,,fee schedule,,78,,,,,,,fee schedule,,491,,,,,,,fee schedule,,491,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,134,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,289,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,333,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,78,491,
78070 - PARATHYROID PLANAR IMAGING,78070,CPT,,both,,,22065,22065,,22038,,,,,,,case rate,,26517,,,,,,,case rate,,21408,,,,,,,case rate,,21408,,,,,,,case rate,,30688,,,,,,,case rate,,30688,,,,,,,case rate,,22905,,,,,,,case rate,,14897,,,,,,,case rate,,  ,,,,,,,case rate,,20032,,,,,,,case rate,,20032,,,,,,,case rate,,20032,,,,,,,case rate,,20433,,,,,,,case rate,,20032,,,,,,,case rate,,20032,,,,,,,case rate,,20032,,,,,,,case rate,,18630,,,,,,,case rate,,20032,,,,,,,case rate,,20032,,,,,,,case rate,,20032,,,,,,,case rate,,20032,,,,,,,case rate,,20433,,,,,,,case rate,,21434,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14897,30688,
78072 - PARATHYRD PLANAR W/SPECT&CT,78072,CPT,,both,,,380,380,,61,,,,,,,fee schedule,,143,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,4,222,
78195 - LYMPH SYSTEM IMAGING,78195,CPT,,both,,,6519,6519,,108,,,,,,,fee schedule,,114,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,471,,,,,,,fee schedule,,3687,,,,,,,fee schedule,,3687,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,414,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,388,,,,,,,fee schedule,,847,,,,,,,fee schedule,,108,4511,
78226 - HEPATOBILIARY SYSTEM IMAGING,78226,CPT,,both,,,258,258,,21,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,21,76,
78264 - GASTRIC EMPTYING IMAG STUDY,78264,CPT,,both,,,400,400,,76,,,,,,,fee schedule,,75,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,63,,,,,,,fee schedule,,63,,,,,,,fee schedule,,187,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,63,336,
78278 - ACUTE GI BLOOD LOSS IMAGING,78278,CPT,,both,,,17457,17457,,22068,,,,,,,case rate,,26553,,,,,,,case rate,,21437,,,,,,,case rate,,21437,,,,,,,case rate,,30729,,,,,,,case rate,,30729,,,,,,,case rate,,22936,,,,,,,case rate,,14917,,,,,,,case rate,,  ,,,,,,,case rate,,20057,,,,,,,case rate,,20057,,,,,,,case rate,,20057,,,,,,,case rate,,20459,,,,,,,case rate,,20057,,,,,,,case rate,,20057,,,,,,,case rate,,20057,,,,,,,case rate,,18653,,,,,,,case rate,,20057,,,,,,,case rate,,20057,,,,,,,case rate,,20057,,,,,,,case rate,,20057,,,,,,,case rate,,20459,,,,,,,case rate,,21461,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14917,30729,
783 - Cesarean section w sterilization w MCC,783,MS-DRG,,inpatient,,,1411,1411,,241,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,891,,,,,,,fee schedule,,891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,576,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,525,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,576,,,,,,,fee schedule,,604,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,241,891,
78306 - BONE IMAGING WHOLE BODY,78306,CPT,,both,,,810,810,,172,,,,,,,fee schedule,,81,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,828,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,81,1491,
78315 - BONE IMAGING 3 PHASE,78315,CPT,,both,,,347,347,,51,,,,,,,fee schedule,,96,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,,,,,,,,fee schedule,,176,,,,,,,fee schedule,,159,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,184,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,212,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,849,
784 - Cesarean section w sterilization w CC,784,MS-DRG,,inpatient,,,217,217,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
78451 - HT MUSCLE IMAGE SPECT SING,78451,CPT,,both,,,1619,1619,,211,,,,,,,fee schedule,,123,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,577,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,508,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,475,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,123,1039,
78452 - HT MUSCLE IMAGE SPECT MULT,78452,CPT,,both,,,204,204,,93,,,,,,,fee schedule,,147,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,147,
78472 - GATED HEART PLANAR SINGLE,78472,CPT,,both,,,27013,27013,,22048,,,,,,,case rate,,26529,,,,,,,case rate,,21418,,,,,,,case rate,,21418,,,,,,,case rate,,30701,,,,,,,case rate,,30701,,,,,,,case rate,,22915,,,,,,,case rate,,14903,,,,,,,case rate,,  ,,,,,,,case rate,,20040,,,,,,,case rate,,20040,,,,,,,case rate,,20040,,,,,,,case rate,,20441,,,,,,,case rate,,20040,,,,,,,case rate,,20040,,,,,,,case rate,,20040,,,,,,,case rate,,18637,,,,,,,case rate,,20040,,,,,,,case rate,,20040,,,,,,,case rate,,20040,,,,,,,case rate,,20040,,,,,,,case rate,,20441,,,,,,,case rate,,21443,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14903,30701,
785 - Cesarean section w sterilization w/o CC/MCC,785,MS-DRG,,inpatient,,,162,162,,47,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,31,54,
78582 - LUNG VENTILAT&PERFUS IMAGING,78582,CPT,,both,,,803,803,,31,,,,,,,fee schedule,,99,,,,,,,fee schedule,,1176,,,,,,,fee schedule,,1176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,134,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,760,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,693,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,760,,,,,,,fee schedule,,797,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,31,1176,
786 - Cesarean section w/o sterilization w MCC,786,MS-DRG,,inpatient,,,,,,795,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,795,872,
787 - Cesarean section w/o sterilization w CC,787,MS-DRG,,inpatient,,,196,196,,24,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,132,
78701 - KIDNEY IMAGING WITH FLOW,78701,CPT,,both,,,182,182,,13,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,13,92,
78707 - K FLOW/FUNCT IMAGE W/O DRUG,78707,CPT,,both,,,251,251,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,26,147,
78708 - K FLOW/FUNCT IMAGE W/DRUG,78708,CPT,,both,,,630,630,,333,,,,,,,fee schedule,,114,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,250,,,,,,,fee schedule,,185,,,,,,,fee schedule,,167,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,114,424,
788 - Cesarean section w/o sterilization w/o CC/MCC,788,MS-DRG,,inpatient,,,63,63,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,29,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,33,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,29,48,
78804 - RP LOCLZJ TUM WHBDY 2+D IMG,78804,CPT,,both,,,366,366,,37,,,,,,,fee schedule,,98,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,98,
78830 - RP LOCLZJ TUM SPECT W/CT 1,78830,CPT,,both,,,23278,23278,,27255,,,,,,,case rate,,32794,,,,,,,case rate,,26476,,,,,,,case rate,,26476,,,,,,,case rate,,37952,,,,,,,case rate,,37952,,,,,,,case rate,,28327,,,,,,,case rate,,18423,,,,,,,case rate,,  ,,,,,,,case rate,,24452,,,,,,,case rate,,24452,,,,,,,case rate,,24452,,,,,,,case rate,,24941,,,,,,,case rate,,24452,,,,,,,case rate,,24452,,,,,,,case rate,,24452,,,,,,,case rate,,22740,,,,,,,case rate,,24452,,,,,,,case rate,,24452,,,,,,,case rate,,24452,,,,,,,case rate,,24452,,,,,,,case rate,,24941,,,,,,,case rate,,26163,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18423,37952,
78831 - RP LOCLZJ TUM SPECT 2 AREAS,78831,CPT,,both,,,22952,22952,,27264,,,,,,,case rate,,32805,,,,,,,case rate,,26485,,,,,,,case rate,,26485,,,,,,,case rate,,37965,,,,,,,case rate,,37965,,,,,,,case rate,,28337,,,,,,,case rate,,18430,,,,,,,case rate,,  ,,,,,,,case rate,,24460,,,,,,,case rate,,24460,,,,,,,case rate,,24460,,,,,,,case rate,,24949,,,,,,,case rate,,24460,,,,,,,case rate,,24460,,,,,,,case rate,,24460,,,,,,,case rate,,22748,,,,,,,case rate,,24460,,,,,,,case rate,,24460,,,,,,,case rate,,24460,,,,,,,case rate,,24460,,,,,,,case rate,,24949,,,,,,,case rate,,26172,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18430,37965,
78832 - RP LOCLZJ TUM SPECT W/CT 2,78832,CPT,,both,,,33662,33662,,27831,,,,,,,case rate,,33488,,,,,,,case rate,,27036,,,,,,,case rate,,27036,,,,,,,case rate,,38755,,,,,,,case rate,,38755,,,,,,,case rate,,28926,,,,,,,case rate,,18813,,,,,,,case rate,,  ,,,,,,,case rate,,24940,,,,,,,case rate,,24940,,,,,,,case rate,,24940,,,,,,,case rate,,25439,,,,,,,case rate,,24940,,,,,,,case rate,,24940,,,,,,,case rate,,24940,,,,,,,case rate,,23194,,,,,,,case rate,,24940,,,,,,,case rate,,24940,,,,,,,case rate,,24940,,,,,,,case rate,,24940,,,,,,,case rate,,25439,,,,,,,case rate,,26686,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18813,38755,
"789 - Neonates, died or transferred to another acute care facility",789,MS-DRG,,inpatient,,,26524,26524,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1022,1022,
"790 - Extreme immaturity or respiratory distress syndrome, neonate",790,MS-DRG,,inpatient,,,14845,14845,,525,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,525,9369,
79005 - NUCLEAR RX ORAL ADMIN,79005,CPT,,both,,,217,217,,92,,,,,,,fee schedule,,158,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,112,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,202,
791 - Prematurity w major problems,791,MS-DRG,,inpatient,,,26520,26520,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7436,,,,,,,fee schedule,,7436,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7436,7436,
792 - Prematurity w/o major problems,792,MS-DRG,,inpatient,,,6198,6198,,157,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,157,3912,
793 - Full term neonate w major problems,793,MS-DRG,,inpatient,,,17199,17199,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7865,,,,,,,fee schedule,,7865,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7865,7865,
794 - Neonate w other significant problems,794,MS-DRG,,inpatient,,,2233,2233,,77,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,192,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,221,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,325,
795 - Normal newborn,795,MS-DRG,,inpatient,,,7142,7142,,505,,,,,,,fee schedule,,4198,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2068,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,505,4508,
798 - Vaginal delivery w sterilization/D&C w/o CC/MCC,798,MS-DRG,,inpatient,,,74,74,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,41,
80048 - METABOLIC PANEL TOTAL CA,80048,CPT,,both,,,65,65,,5,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
80051 - ELECTROLYTE PANEL,80051,CPT,,both,,,349,349,,25,,,,,,,fee schedule,,17,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,17,162,
80053 - COMPREHEN METABOLIC PANEL,80053,CPT,,both,,,156,156,,6,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,46,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,6,83,
80061 - LIPID PANEL,80061,CPT,,both,,,284,284,,42,,,,,,,fee schedule,,34,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,34,162,
80069 - RENAL FUNCTION PANEL,80069,CPT,,both,,,366,366,,31,,,,,,,fee schedule,,22,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,70,,,,,,,fee schedule,,145,,,,,,,fee schedule,,145,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,7,162,
80074 - ACUTE HEPATITIS PANEL,80074,CPT,,both,,,675,675,,186,,,,,,,fee schedule,,116,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,218,,,,,,,fee schedule,,218,,,,,,,fee schedule,,828,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,56,1491,
80076 - HEPATIC FUNCTION PANEL,80076,CPT,,both,,,625,625,,32,,,,,,,fee schedule,,20,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,233,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,119,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,137,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,205,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,187,,,,,,,fee schedule,,192,,,,,,,fee schedule,,420,,,,,,,fee schedule,,20,420,
80156 - ASSAY CARBAMAZEPINE TOTAL,80156,CPT,,both,,,40,40,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
80158 - DRUG ASSAY CYCLOSPORINE,80158,CPT,,both,,,69,69,,28,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,123,
80159 - DRUG ASSAY CLOZAPINE,80159,CPT,,both,,,3513,3513,,143,,,,,,,fee schedule,,46,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,606,,,,,,,fee schedule,,606,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,46,819,
80162 - ASSAY OF DIGOXIN TOTAL,80162,CPT,,both,,,64,64,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
80164 - ASSAY DIPROPYLACETIC ACD TOT,80164,CPT,,both,,,114,114,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
80168 - ASSAY OF ETHOSUXIMIDE,80168,CPT,,both,,,8525,8525,,8781,,,,,,,case rate,,10565,,,,,,,case rate,,8530,,,,,,,case rate,,8530,,,,,,,case rate,,12227,,,,,,,case rate,,12227,,,,,,,case rate,,9126,,,,,,,case rate,,5935,,,,,,,case rate,,  ,,,,,,,case rate,,8800,,,,,,,case rate,,8800,,,,,,,case rate,,8800,,,,,,,case rate,,8976,,,,,,,case rate,,8800,,,,,,,case rate,,8800,,,,,,,case rate,,8800,,,,,,,case rate,,8184,,,,,,,case rate,,8800,,,,,,,case rate,,8800,,,,,,,case rate,,8800,,,,,,,case rate,,8800,,,,,,,case rate,,8976,,,,,,,case rate,,9416,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5935,12227,
80170 - ASSAY OF GENTAMICIN,80170,CPT,,both,,,56,56,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,63,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,9,114,
80173 - ASSAY OF HALOPERIDOL,80173,CPT,,both,,,6826,6826,,8820,,,,,,,case rate,,10613,,,,,,,case rate,,8568,,,,,,,case rate,,8568,,,,,,,case rate,,12282,,,,,,,case rate,,12282,,,,,,,case rate,,9167,,,,,,,case rate,,5962,,,,,,,case rate,,  ,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,9010,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,8215,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,9010,,,,,,,case rate,,9452,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5962,12282,
80175 - DRUG SCREEN QUAN LAMOTRIGINE,80175,CPT,,both,,,40,40,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
80177 - DRUG SCRN QUAN LEVETIRACETAM,80177,CPT,,both,,,43,43,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
80178 - ASSAY OF LITHIUM,80178,CPT,,both,,,212,212,,22,,,,,,,fee schedule,,17,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,88,,,,,,,fee schedule,,88,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,17,132,
80183 - DRUG SCRN QUANT OXCARBAZEPIN,80183,CPT,,both,,,22,22,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
80184 - ASSAY OF PHENOBARBITAL,80184,CPT,,both,,,393,393,,33,,,,,,,fee schedule,,31,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,30,162,
80185 - ASSAY OF PHENYTOIN TOTAL,80185,CPT,,both,,,111,111,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,10,83,
80186 - ASSAY OF PHENYTOIN FREE,80186,CPT,,both,,,21,21,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,42,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
80197 - ASSAY OF TACROLIMUS,80197,CPT,,both,,,60,60,,5,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,42,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,5,76,
80198 - ASSAY OF THEOPHYLLINE,80198,CPT,,both,,,144,144,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
80201 - ASSAY OF TOPIRAMATE,80201,CPT,,both,,,16,16,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
80202 - ASSAY OF VANCOMYCIN,80202,CPT,,both,,,64,64,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
80203 - DRUG SCREEN QUANT ZONISAMIDE,80203,CPT,,both,,,237,237,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,10,83,
80299 - QUANTITATIVE ASSAY DRUG,80299,CPT,,both,,,138,138,,4,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
80307 - DRUG TEST PRSMV CHEM ANLYZR,80307,CPT,,both,,,11518,11518,,14869,,,,,,,case rate,,17891,,,,,,,case rate,,14444,,,,,,,case rate,,14444,,,,,,,case rate,,20705,,,,,,,case rate,,20705,,,,,,,case rate,,15454,,,,,,,case rate,,10051,,,,,,,case rate,,  ,,,,,,,case rate,,13958,,,,,,,case rate,,13958,,,,,,,case rate,,13958,,,,,,,case rate,,14238,,,,,,,case rate,,13958,,,,,,,case rate,,13958,,,,,,,case rate,,13958,,,,,,,case rate,,12981,,,,,,,case rate,,13958,,,,,,,case rate,,13958,,,,,,,case rate,,13958,,,,,,,case rate,,13958,,,,,,,case rate,,14238,,,,,,,case rate,,14935,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10051,20705,
80327 - ANABOLIC STEROID 1 OR 2,80327,CPT,,both,,,280,280,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7502,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,65,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,60,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,65,,,,,,,fee schedule,,69,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6601,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6001,,,,,,,fee schedule,,6181,,,,,,,fee schedule,,13503,,,,,,,fee schedule,,1,13503,
80335 - ANTIDEPRESSANT TRICYCLIC 1/2,80335,CPT,,both,,,6059,6059,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13522,,,,,,,fee schedule,,13522,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13522,13522,
80339 - ANTIEPILEPTICS NOS 1-3,80339,CPT,,both,,,445,445,,24,,,,,,,fee schedule,,49,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,141,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,24,253,
80346 - BENZODIAZEPINES1-12,80346,CPT,,both,,,8083,8083,,582,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,13761,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8111,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8722,,,,,,,fee schedule,,8896,,,,,,,fee schedule,,9332,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,466,13761,
805 - Vaginal delivery w/o sterilization/D&C w MCC,805,MS-DRG,,inpatient,,,258,258,,18,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,132,
806 - Vaginal delivery w/o sterilization/D&C w CC,806,MS-DRG,,inpatient,,,135,135,,20,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20,50,
807 - Vaginal delivery w/o sterilization/D&C w/o CC/MCC,807,MS-DRG,,inpatient,,,5,5,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,8,
808 - Major hematol/immun diag exc sickle cell crisis & coagul w MCC,808,MS-DRG,,inpatient,,,4141,4141,,439,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,2613,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1540,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1690,,,,,,,fee schedule,,1772,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,439,2613,
809 - Major hematol/immun diag exc sickle cell crisis & coagul w CC,809,MS-DRG,,inpatient,,,1,1,,136,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,136,193,
810 - Maj hematol/immun diag exc sickle cell crisis & coagul w/o CC/MC,810,MS-DRG,,inpatient,,,1,1,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
81000 - URINALYSIS NONAUTO W/SCOPE,81000,CPT,,both,,,25,25,,3,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,6,
81001 - URINALYSIS AUTO W/SCOPE,81001,CPT,,both,,,38,38,,2,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,1,76,
81002 - URINALYSIS NONAUTO W/O SCOPE,81002,CPT,,both,,,24,24,,2,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,2,66,
81003 - URINALYSIS AUTO W/O SCOPE,81003,CPT,,both,,,6,6,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
81005 - URINALYSIS,81005,CPT,,both,,,19,19,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,5,
81015 - MICROSCOPIC EXAM OF URINE,81015,CPT,,both,,,4,4,,  ,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,7,
81025 - URINE PREGNANCY TEST,81025,CPT,,both,,,29,29,,4,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
811 - Red blood cell disorders w MCC,811,MS-DRG,,inpatient,,,,,,192,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,192,292,
812 - Red blood cell disorders w/o MCC,812,MS-DRG,,inpatient,,,258,258,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,,,,,,,fee schedule,,71,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,46,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,42,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,46,,,,,,,fee schedule,,48,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,71,
81206 - BCR/ABL1 GENE MAJOR BP,81206,CPT,,both,,,660,660,,163,,,,,,,fee schedule,,374,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,910,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,728,,,,,,,fee schedule,,728,,,,,,,fee schedule,,728,,,,,,,fee schedule,,728,,,,,,,fee schedule,,728,,,,,,,fee schedule,,728,,,,,,,fee schedule,,800,,,,,,,fee schedule,,728,,,,,,,fee schedule,,728,,,,,,,fee schedule,,728,,,,,,,fee schedule,,749,,,,,,,fee schedule,,1637,,,,,,,fee schedule,,163,1637,
81208 - BCR/ABL1 GENE OTHER BP,81208,CPT,,both,,,536,536,,255,,,,,,,fee schedule,,385,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,119,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,137,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,385,
81220 - CFTR GENE COM VARIANTS,81220,CPT,,both,,,1581,1581,,500,,,,,,,fee schedule,,1140,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,191,,,,,,,fee schedule,,191,,,,,,,fee schedule,,406,,,,,,,fee schedule,,321,,,,,,,fee schedule,,321,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,357,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,335,,,,,,,fee schedule,,731,,,,,,,fee schedule,,191,1140,
81229 - CYTOG ALYS CHRML ABNR SNPCGH,81229,CPT,,both,,,2556,2556,,306,,,,,,,fee schedule,,2376,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,321,,,,,,,fee schedule,,321,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,306,2376,
81240 - F2 GENE,81240,CPT,,both,,,2780,2780,,231,,,,,,,fee schedule,,130,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,225,,,,,,,fee schedule,,225,,,,,,,fee schedule,,961,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1363,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,845,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,792,,,,,,,fee schedule,,1729,,,,,,,fee schedule,,130,2010,
81241 - F5 GENE,81241,CPT,,both,,,250,250,,65,,,,,,,fee schedule,,149,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,169,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,149,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,140,,,,,,,fee schedule,,305,,,,,,,fee schedule,,65,841,
81270 - JAK2 GENE,81270,CPT,,both,,,363,363,,  ,,,,,,,fee schedule,,215,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,215,215,
813 - Coagulation disorders,813,MS-DRG,,inpatient,,,2556,2556,,139,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,401,,,,,,,fee schedule,,401,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,236,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,254,,,,,,,fee schedule,,259,,,,,,,fee schedule,,272,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,94,401,
81315 - PML/RARALPHA COM BREAKPOINTS,81315,CPT,,both,,,1737,1737,,129,,,,,,,fee schedule,,438,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,125,,,,,,,fee schedule,,339,,,,,,,fee schedule,,339,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,110,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,103,,,,,,,fee schedule,,225,,,,,,,fee schedule,,100,438,
81335 - TPMT GENE COM VARIANTS,81335,CPT,,both,,,13608,13608,,15669,,,,,,,case rate,,18853,,,,,,,case rate,,15221,,,,,,,case rate,,15221,,,,,,,case rate,,21818,,,,,,,case rate,,21818,,,,,,,case rate,,16285,,,,,,,case rate,,10591,,,,,,,case rate,,  ,,,,,,,case rate,,14636,,,,,,,case rate,,14636,,,,,,,case rate,,14636,,,,,,,case rate,,14928,,,,,,,case rate,,14636,,,,,,,case rate,,14636,,,,,,,case rate,,14636,,,,,,,case rate,,13611,,,,,,,case rate,,14636,,,,,,,case rate,,14636,,,,,,,case rate,,14636,,,,,,,case rate,,14636,,,,,,,case rate,,14928,,,,,,,case rate,,15660,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10591,21818,
81342 - TRG GENE REARRANGEMENT ANAL,81342,CPT,,both,,,25079,25079,,16087,,,,,,,case rate,,19356,,,,,,,case rate,,15627,,,,,,,case rate,,15627,,,,,,,case rate,,22400,,,,,,,case rate,,22400,,,,,,,case rate,,16719,,,,,,,case rate,,10874,,,,,,,case rate,,  ,,,,,,,case rate,,14990,,,,,,,case rate,,14990,,,,,,,case rate,,14990,,,,,,,case rate,,15290,,,,,,,case rate,,14990,,,,,,,case rate,,14990,,,,,,,case rate,,14990,,,,,,,case rate,,13940,,,,,,,case rate,,14990,,,,,,,case rate,,14990,,,,,,,case rate,,14990,,,,,,,case rate,,14990,,,,,,,case rate,,15290,,,,,,,case rate,,16039,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10874,22400,
81370 - HLA I & II TYPING LR,81370,CPT,,both,,,1046,1046,,179,,,,,,,fee schedule,,829,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,299,,,,,,,fee schedule,,299,,,,,,,fee schedule,,,,,,,,,fee schedule,,472,,,,,,,fee schedule,,472,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,179,829,
81371 - HLA I & II TYPE VERIFY LR,81371,CPT,,both,,,864,864,,342,,,,,,,fee schedule,,642,,,,,,,fee schedule,,415,,,,,,,fee schedule,,415,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,112,,,,,,,fee schedule,,336,,,,,,,fee schedule,,336,,,,,,,fee schedule,,263,,,,,,,fee schedule,,263,,,,,,,fee schedule,,263,,,,,,,fee schedule,,268,,,,,,,fee schedule,,263,,,,,,,fee schedule,,263,,,,,,,fee schedule,,263,,,,,,,fee schedule,,244,,,,,,,fee schedule,,263,,,,,,,fee schedule,,263,,,,,,,fee schedule,,263,,,,,,,fee schedule,,263,,,,,,,fee schedule,,268,,,,,,,fee schedule,,281,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,642,
81381 - HLA I TYPING 1 ALLELE HR,81381,CPT,,both,,,2287,2287,,19,,,,,,,fee schedule,,319,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,134,,,,,,,fee schedule,,248,,,,,,,fee schedule,,248,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,19,319,
81401 - MOPATH PROCEDURE LEVEL 2,81401,CPT,,both,,,1,1,,96,,,,,,,fee schedule,,254,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,98,,,,,,,fee schedule,,98,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,96,254,
81403 - MOPATH PROCEDURE LEVEL 4,81403,CPT,,both,,,2460,2460,,97,,,,,,,fee schedule,,330,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,255,,,,,,,fee schedule,,255,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,91,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,186,,,,,,,fee schedule,,83,330,
815 - Reticuloendothelial & immunity disorders w CC,815,MS-DRG,,inpatient,,,627,627,,63,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,118,
816 - Reticuloendothelial & immunity disorders w/o CC/MCC,816,MS-DRG,,inpatient,,,324,324,,6,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,13,
817 - Other antepartum diagnoses w O.R. procedure w MCC,817,MS-DRG,,inpatient,,,5073,5073,,440,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,348,3202,
818 - Other antepartum diagnoses w O.R. procedure w CC,818,MS-DRG,,inpatient,,,228,228,,95,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,95,175,
82010 - ACETONE ASSAY,82010,CPT,,both,,,225,225,,23,,,,,,,fee schedule,,20,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,20,132,
82017 - ACYLCARNITINES QUANT,82017,CPT,,both,,,380,380,,18,,,,,,,fee schedule,,43,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,353,,,,,,,fee schedule,,5,353,
82024 - ASSAY OF ACTH,82024,CPT,,both,,,303,303,,28,,,,,,,fee schedule,,95,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,81,,,,,,,fee schedule,,74,,,,,,,fee schedule,,74,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,26,145,
82040 - ASSAY OF SERUM ALBUMIN,82040,CPT,,both,,,127,127,,  ,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1009,,,,,,,fee schedule,,423,,,,,,,fee schedule,,423,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,807,,,,,,,fee schedule,,807,,,,,,,fee schedule,,807,,,,,,,fee schedule,,807,,,,,,,fee schedule,,807,,,,,,,fee schedule,,807,,,,,,,fee schedule,,888,,,,,,,fee schedule,,807,,,,,,,fee schedule,,807,,,,,,,fee schedule,,807,,,,,,,fee schedule,,831,,,,,,,fee schedule,,1815,,,,,,,fee schedule,,1,1815,
82042 - OTHER SOURCE ALBUMIN QUAN EA,82042,CPT,,both,,,62,62,,4,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,37,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
82043 - UR ALBUMIN QUANTITATIVE,82043,CPT,,both,,,49,49,,4,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,42,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
82085 - ASSAY OF ALDOLASE,82085,CPT,,both,,,518,518,,47,,,,,,,fee schedule,,24,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,120,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,105,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,99,,,,,,,fee schedule,,215,,,,,,,fee schedule,,24,424,
82088 - ASSAY OF ALDOSTERONE,82088,CPT,,both,,,178,178,,132,,,,,,,fee schedule,,99,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,180,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,159,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,149,,,,,,,fee schedule,,325,,,,,,,fee schedule,,99,325,
821 - Lymphoma & leukemia w major O.R. procedure w CC,821,MS-DRG,,inpatient,,,4451,4451,,118,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,104,2809,
82103 - ALPHA-1-ANTITRYPSIN TOTAL,82103,CPT,,both,,,77,77,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,51,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
82104 - ALPHA-1-ANTITRYPSIN PHENO,82104,CPT,,both,,,142,142,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
82105 - ALPHA-FETOPROTEIN SERUM,82105,CPT,,both,,,100,100,,27,,,,,,,fee schedule,,43,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,11,1121,
82131 - AMINO ACIDS SINGLE QUANT,82131,CPT,,both,,,57,57,,  ,,,,,,,fee schedule,,47,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,25,56,
82139 - AMINO ACIDS QUAN 6 OR MORE,82139,CPT,,both,,,129,129,,4,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,43,
82140 - ASSAY OF AMMONIA,82140,CPT,,both,,,48,48,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,11,92,
82150 - ASSAY OF AMYLASE,82150,CPT,,both,,,36,36,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
82157 - ASSAY OF ANDROSTENEDIONE,82157,CPT,,both,,,129,129,,56,,,,,,,fee schedule,,72,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,29,1121,
82164 - ANGIOTENSIN I ENZYME TEST,82164,CPT,,both,,,247,247,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,63,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,8,114,
82172 - ASSAY OF APOLIPOPROTEIN,82172,CPT,,both,,,121,121,,13,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,63,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,13,114,
82175 - ASSAY OF ARSENIC,82175,CPT,,both,,,1453,1453,,77,,,,,,,fee schedule,,47,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,347,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,41,624,
82180 - ASSAY OF ASCORBIC ACID,82180,CPT,,both,,,485,485,,29,,,,,,,fee schedule,,25,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,25,137,
82232 - ASSAY OF BETA-2 PROTEIN,82232,CPT,,both,,,155,155,,12,,,,,,,fee schedule,,39,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,63,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,12,114,
82239 - BILE ACIDS TOTAL,82239,CPT,,both,,,143,143,,13,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,63,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,13,114,
82247 - BILIRUBIN TOTAL,82247,CPT,,both,,,32,32,,3,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
82248 - BILIRUBIN DIRECT,82248,CPT,,both,,,14,14,,  ,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,12,
82270 - OCCULT BLOOD FECES,82270,CPT,,both,,,65,65,,2,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,42,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,2,76,
82274 - ASSAY TEST FOR BLOOD FECAL,82274,CPT,,both,,,22950,22950,,9558,,,,,,,case rate,,11501,,,,,,,case rate,,9285,,,,,,,case rate,,9285,,,,,,,case rate,,13310,,,,,,,case rate,,13310,,,,,,,case rate,,9934,,,,,,,case rate,,6461,,,,,,,case rate,,  ,,,,,,,case rate,,9459,,,,,,,case rate,,9459,,,,,,,case rate,,9459,,,,,,,case rate,,9648,,,,,,,case rate,,9459,,,,,,,case rate,,9459,,,,,,,case rate,,9459,,,,,,,case rate,,8797,,,,,,,case rate,,9459,,,,,,,case rate,,9459,,,,,,,case rate,,9459,,,,,,,case rate,,9459,,,,,,,case rate,,9648,,,,,,,case rate,,10121,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6461,13310,
823 - Lymphoma & non-acute leukemia w other proc w MCC,823,MS-DRG,,inpatient,,,12506,12506,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,566,7893,
82306 - VITAMIN D 25 HYDROXY,82306,CPT,,both,,,567,567,,122,,,,,,,fee schedule,,74,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,95,,,,,,,fee schedule,,95,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,74,381,
82308 - ASSAY OF CALCITONIN,82308,CPT,,both,,,113,113,,  ,,,,,,,fee schedule,,66,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,264,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,29,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,26,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,233,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,218,,,,,,,fee schedule,,476,,,,,,,fee schedule,,26,476,
82310 - ASSAY OF CALCIUM,82310,CPT,,both,,,50,50,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
82330 - ASSAY OF CALCIUM,82330,CPT,,both,,,1156,1156,,278,,,,,,,fee schedule,,34,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,382,,,,,,,fee schedule,,382,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,34,624,
82340 - ASSAY OF CALCIUM IN URINE,82340,CPT,,both,,,42,42,,4,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,42,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
82360 - CALCULUS ASSAY QUANT,82360,CPT,,both,,,79,79,,10,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
82375 - ASSAY CARBOXYHB QUANT,82375,CPT,,both,,,75,75,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,46,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,9,83,
82380 - ASSAY OF CAROTENE,82380,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
82384 - ASSAY THREE CATECHOLAMINES,82384,CPT,,both,,,132,132,,28,,,,,,,fee schedule,,64,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,106,,,,,,,fee schedule,,106,,,,,,,fee schedule,,66,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,58,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,54,,,,,,,fee schedule,,118,,,,,,,fee schedule,,22,160,
82387 - ASSAY OF CATHEPSIN-D,82387,CPT,,both,,,180,180,,13,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,13,151,
82390 - ASSAY OF CERULOPLASMIN,82390,CPT,,both,,,293,293,,13,,,,,,,fee schedule,,26,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,353,,,,,,,fee schedule,,13,424,
82397 - CHEMILUMINESCENT ASSAY,82397,CPT,,both,,,101,101,,5,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,80,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,4,145,
824 - Lymphoma & non-acute leukemia w other proc w CC,824,MS-DRG,,inpatient,,,4451,4451,,256,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,2809,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1656,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1780,,,,,,,fee schedule,,1816,,,,,,,fee schedule,,1905,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,230,2809,
82435 - ASSAY OF BLOOD CHLORIDE,82435,CPT,,both,,,44,44,,3,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,42,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,3,76,
82436 - ASSAY OF URINE CHLORIDE,82436,CPT,,both,,,14,14,,  ,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,12,
82465 - ASSAY BLD/SERUM CHOLESTEROL,82465,CPT,,both,,,14,14,,  ,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,16,
82495 - ASSAY OF CHROMIUM,82495,CPT,,both,,,163,163,,15,,,,,,,fee schedule,,51,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,68,,,,,,,fee schedule,,40,,,,,,,fee schedule,,40,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,60,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,15,123,
825 - Lymphoma & non-acute leukemia w other proc w/o CC/MCC,825,MS-DRG,,inpatient,,,133,133,,18,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,6,253,
82507 - ASSAY OF CITRATE,82507,CPT,,both,,,675,675,,95,,,,,,,fee schedule,,68,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,68,381,
82523 - COLLAGEN CROSSLINKS,82523,CPT,,both,,,113,113,,  ,,,,,,,fee schedule,,47,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,142,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,93,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,85,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,93,,,,,,,fee schedule,,97,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,125,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,117,,,,,,,fee schedule,,256,,,,,,,fee schedule,,25,256,
82525 - ASSAY OF COPPER,82525,CPT,,both,,,374,374,,  ,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,32,32,
82530 - CORTISOL FREE,82530,CPT,,both,,,59,59,,11,,,,,,,fee schedule,,42,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,40,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,6,102,
82533 - TOTAL CORTISOL,82533,CPT,,both,,,34,34,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
82542 - COL CHROMOTOGRAPHY QUAL/QUAN,82542,CPT,,both,,,496,496,,37,,,,,,,fee schedule,,49,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,229,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,202,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,189,,,,,,,fee schedule,,413,,,,,,,fee schedule,,4,413,
82550 - ASSAY OF CK (CPK),82550,CPT,,both,,,1286,1286,,13,,,,,,,fee schedule,,16,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,13,762,
82553 - CREATINE MB FRACTION,82553,CPT,,both,,,93,93,,5,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,54,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,48,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,45,,,,,,,fee schedule,,97,,,,,,,fee schedule,,5,97,
82565 - ASSAY OF CREATININE,82565,CPT,,both,,,44,44,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
82570 - ASSAY OF URINE CREATININE,82570,CPT,,both,,,26,26,,3,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
82595 - ASSAY OF CRYOGLOBULIN,82595,CPT,,both,,,51,51,,4,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,46,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,4,83,
82607 - VITAMIN B-12,82607,CPT,,both,,,113,113,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
82626 - DEHYDROEPIANDROSTERONE,82626,CPT,,both,,,252,252,,19,,,,,,,fee schedule,,63,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,63,,,,,,,fee schedule,,49,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,19,114,
82627 - DEHYDROEPIANDROSTERONE,82627,CPT,,both,,,34,34,,16,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,16,114,
82633 - DESOXYCORTICOSTERONE,82633,CPT,,both,,,11152,11152,,10915,,,,,,,case rate,,13134,,,,,,,case rate,,10603,,,,,,,case rate,,10603,,,,,,,case rate,,15200,,,,,,,case rate,,15200,,,,,,,case rate,,11345,,,,,,,case rate,,7378,,,,,,,case rate,,  ,,,,,,,case rate,,10609,,,,,,,case rate,,10609,,,,,,,case rate,,10609,,,,,,,case rate,,10821,,,,,,,case rate,,10609,,,,,,,case rate,,10609,,,,,,,case rate,,10609,,,,,,,case rate,,9866,,,,,,,case rate,,10609,,,,,,,case rate,,10609,,,,,,,case rate,,10609,,,,,,,case rate,,10609,,,,,,,case rate,,10821,,,,,,,case rate,,11351,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7378,15200,
82634 - DEOXYCORTISOL,82634,CPT,,both,,,14046,14046,,10799,,,,,,,case rate,,12994,,,,,,,case rate,,10491,,,,,,,case rate,,10491,,,,,,,case rate,,15038,,,,,,,case rate,,15038,,,,,,,case rate,,11224,,,,,,,case rate,,7300,,,,,,,case rate,,  ,,,,,,,case rate,,10510,,,,,,,case rate,,10510,,,,,,,case rate,,10510,,,,,,,case rate,,10720,,,,,,,case rate,,10510,,,,,,,case rate,,10510,,,,,,,case rate,,10510,,,,,,,case rate,,9774,,,,,,,case rate,,10510,,,,,,,case rate,,10510,,,,,,,case rate,,10510,,,,,,,case rate,,10510,,,,,,,case rate,,10720,,,,,,,case rate,,11246,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7300,15038,
82652 - VIT D 1 25-DIHYDROXY,82652,CPT,,both,,,95,95,,28,,,,,,,fee schedule,,95,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,81,,,,,,,fee schedule,,74,,,,,,,fee schedule,,74,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,11,145,
82668 - ASSAY OF ERYTHROPOIETIN,82668,CPT,,both,,,58,58,,14,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,14,92,
82670 - ASSAY OF TOTAL ESTRADIOL,82670,CPT,,both,,,276,276,,19,,,,,,,fee schedule,,69,,,,,,,fee schedule,,238,,,,,,,fee schedule,,238,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,86,,,,,,,fee schedule,,180,,,,,,,fee schedule,,180,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,140,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,161,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,19,238,
82672 - ASSAY OF ESTROGEN,82672,CPT,,both,,,212,212,,16,,,,,,,fee schedule,,54,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,63,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,12,114,
82677 - ASSAY OF ESTRIOL,82677,CPT,,both,,,214,214,,25,,,,,,,fee schedule,,59,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,177,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,142,,,,,,,fee schedule,,142,,,,,,,fee schedule,,142,,,,,,,fee schedule,,142,,,,,,,fee schedule,,142,,,,,,,fee schedule,,142,,,,,,,fee schedule,,156,,,,,,,fee schedule,,142,,,,,,,fee schedule,,142,,,,,,,fee schedule,,142,,,,,,,fee schedule,,146,,,,,,,fee schedule,,319,,,,,,,fee schedule,,25,798,
82679 - ASSAY OF ESTRONE,82679,CPT,,both,,,405,405,,35,,,,,,,fee schedule,,62,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,353,,,,,,,fee schedule,,10,353,
827 - Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC,827,MS-DRG,,inpatient,,,5073,5073,,522,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,522,3202,
82705 - FATS/LIPIDS FECES QUAL,82705,CPT,,both,,,18,18,,2,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,2,66,
82726 - LONG CHAIN FATTY ACIDS,82726,CPT,,both,,,528,528,,108,,,,,,,fee schedule,,45,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,77,,,,,,,fee schedule,,77,,,,,,,fee schedule,,212,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,45,381,
82728 - ASSAY OF FERRITIN,82728,CPT,,both,,,157,157,,13,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,120,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13,120,
82746 - ASSAY OF FOLIC ACID SERUM,82746,CPT,,both,,,541,541,,16,,,,,,,fee schedule,,37,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,187,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,171,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,187,,,,,,,fee schedule,,197,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,600,
82747 - ASSAY OF FOLIC ACID RBC,82747,CPT,,both,,,281,281,,33,,,,,,,fee schedule,,43,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,141,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,19,253,
82784 - ASSAY IGA/IGD/IGG/IGM EACH,82784,CPT,,both,,,76,76,,7,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,63,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,6,114,
82785 - ASSAY OF IGE,82785,CPT,,both,,,117,117,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,63,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,6,114,
82787 - IGG 1 2 3 OR 4 EACH,82787,CPT,,both,,,291,291,,6,,,,,,,fee schedule,,20,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,86,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,6,155,
828 - Myeloprolif disord or poorly diff neopl w maj OR proc w/o CC/MCC,828,MS-DRG,,inpatient,,,159,159,,27,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,58,,,,,,,fee schedule,,58,,,,,,,fee schedule,,362,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,319,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,299,,,,,,,fee schedule,,652,,,,,,,fee schedule,,27,652,
82803 - BLOOD GASES ANY COMBINATION,82803,CPT,,both,,,26,26,,15,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,42,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,15,76,
829 - Myeloprolif disord or poorly diff neopl w other OR proc w CC/MCC,829,MS-DRG,,inpatient,,,7690,7690,,689,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,689,4854,
82941 - ASSAY OF GASTRIN,82941,CPT,,both,,,756,756,,12,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,12,76,
82943 - ASSAY OF GLUCAGON,82943,CPT,,both,,,75,75,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
82945 - GLUCOSE OTHER FLUID,82945,CPT,,both,,,49,49,,4,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
82947 - ASSAY GLUCOSE BLOOD QUANT,82947,CPT,,both,,,239,239,,2,,,,,,,fee schedule,,7,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,86,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,2,155,
82948 - REAGENT STRIP/BLOOD GLUCOSE,82948,CPT,,both,,,29,29,,2,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,2,66,
82950 - GLUCOSE TEST,82950,CPT,,both,,,30,30,,3,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
82951 - GLUCOSE TOLERANCE TEST (GTT),82951,CPT,,both,,,122,122,,8,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,41,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,8,74,
82952 - GTT-ADDED SAMPLES,82952,CPT,,both,,,23,23,,2,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,42,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,2,76,
82955 - ASSAY OF G6PD ENZYME,82955,CPT,,both,,,414,414,,36,,,,,,,fee schedule,,24,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,24,132,
82962 - GLUCOSE BLOOD TEST,82962,CPT,,both,,,23,23,,2,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,2,76,
82977 - ASSAY OF GGT,82977,CPT,,both,,,470,470,,37,,,,,,,fee schedule,,18,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,230,,,,,,,fee schedule,,230,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,18,624,
82985 - ASSAY OF GLYCATED PROTEIN,82985,CPT,,both,,,104,104,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
83001 - ASSAY OF GONADOTROPIN (FSH),83001,CPT,,both,,,48,48,,10,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
83002 - ASSAY OF GONADOTROPIN (LH),83002,CPT,,both,,,226,226,,20,,,,,,,fee schedule,,37,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,84,,,,,,,fee schedule,,84,,,,,,,fee schedule,,,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,38,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,20,798,
83003 - ASSAY GROWTH HORMONE (HGH),83003,CPT,,both,,,116,116,,18,,,,,,,fee schedule,,42,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,70,,,,,,,fee schedule,,63,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,38,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,18,106,
83010 - ASSAY OF HAPTOGLOBIN QUANT,83010,CPT,,both,,,630,630,,35,,,,,,,fee schedule,,31,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,14,162,
83020 - HEMOGLOBIN ELECTROPHORESIS,83020,CPT,,both,,,61,61,,9,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
83036 - HEMOGLOBIN GLYCOSYLATED A1C,83036,CPT,,both,,,518,518,,37,,,,,,,fee schedule,,24,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,120,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,105,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,99,,,,,,,fee schedule,,215,,,,,,,fee schedule,,24,372,
83050 - HGB METHEMOGLOBIN QUAN,83050,CPT,,both,,,353,353,,49,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,120,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,105,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,99,,,,,,,fee schedule,,215,,,,,,,fee schedule,,18,372,
83070 - ASSAY OF HEMOSIDERIN QUAL,83070,CPT,,both,,,46265,46265,,1011,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,17210,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,19801,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,958,29198,
83090 - ASSAY OF HOMOCYSTEINE,83090,CPT,,both,,,56,56,,4,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
831 - Other antepartum diagnoses w/o O.R. procedure w MCC,831,MS-DRG,,inpatient,,,178,178,,20,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20,132,
832 - Other antepartum diagnoses w/o O.R. procedure w CC,832,MS-DRG,,inpatient,,,76,76,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,10,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,12,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10,17,
833 - Other antepartum diagnoses w/o O.R. procedure w/o CC/MCC,833,MS-DRG,,inpatient,,,5181,5181,,759,,,,,,,fee schedule,,56020,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,2864,,,,,,,fee schedule,,1403,,,,,,,fee schedule,,1263,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2520,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2291,,,,,,,fee schedule,,2360,,,,,,,fee schedule,,5155,,,,,,,fee schedule,,759,56020,
834 - Acute leukemia without major O.R. procedures with MCC,834,MS-DRG,,inpatient,,,14845,14845,,208,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,9369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5522,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,5938,,,,,,,fee schedule,,6057,,,,,,,fee schedule,,6354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,208,9369,
83497 - ASSAY OF 5-HIAA,83497,CPT,,both,,,63,63,,6,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
83498 - ASY HYDROXYPROGESTERONE 17-D,83498,CPT,,both,,,797,797,,86,,,,,,,fee schedule,,68,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,74,,,,,,,fee schedule,,74,,,,,,,fee schedule,,828,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,68,1491,
835 - Acute leukemia without major O.R. procedures with CC,835,MS-DRG,,inpatient,,,1839,1839,,116,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,3202,
83500 - ASSAY FREE HYDROXYPROLINE,83500,CPT,,both,,,159,159,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,134,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,54,241,
83516 - IMMUNOASSAY NONANTIBODY,83516,CPT,,both,,,139,139,,7,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,7,74,
83519 - RIA NONANTIBODY,83519,CPT,,both,,,119,119,,9,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,9,92,
83520 - IMMUNOASSAY QUANT NOS NONAB,83520,CPT,,both,,,32,32,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
83525 - ASSAY OF INSULIN,83525,CPT,,both,,,326,326,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,29,162,
83540 - ASSAY OF IRON,83540,CPT,,both,,,80,80,,6,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,43,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,6,77,
83550 - IRON BINDING TEST,83550,CPT,,both,,,414,414,,27,,,,,,,fee schedule,,22,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,5,162,
83605 - ASSAY OF LACTIC ACID,83605,CPT,,both,,,33,33,,7,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,64,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,115,,,,,,,fee schedule,,7,115,
83615 - LACTATE (LD) (LDH) ENZYME,83615,CPT,,both,,,28,28,,4,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,46,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,4,83,
83625 - ASSAY OF LDH ENZYMES,83625,CPT,,both,,,125,125,,4,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,4,74,
83655 - ASSAY OF LEAD,83655,CPT,,both,,,226,226,,13,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,798,
83690 - ASSAY OF LIPASE,83690,CPT,,both,,,98,98,,  ,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,17,17,
83718 - ASSAY OF LIPOPROTEIN,83718,CPT,,both,,,48,48,,5,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,37,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
83735 - ASSAY OF MAGNESIUM,83735,CPT,,both,,,383,383,,32,,,,,,,fee schedule,,17,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,120,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,105,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,99,,,,,,,fee schedule,,215,,,,,,,fee schedule,,17,220,
83825 - ASSAY OF MERCURY,83825,CPT,,both,,,124,124,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,63,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,12,114,
83835 - ASSAY OF METANEPHRINES,83835,CPT,,both,,,89,89,,11,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
83874 - ASSAY OF MYOGLOBIN,83874,CPT,,both,,,92,92,,10,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
83880 - ASSAY OF NATRIURETIC PEPTIDE,83880,CPT,,both,,,124,124,,59,,,,,,,fee schedule,,83,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,31,1121,
83883 - ASSAY NEPHELOMETRY NOT SPEC,83883,CPT,,both,,,159,159,,10,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,64,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,115,,,,,,,fee schedule,,10,115,
839 - Chemo w acute leukemia as sdx w/o CC/MCC,839,MS-DRG,,inpatient,,,142,142,,39,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,141,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,11,253,
83921 - ORGANIC ACID SINGLE QUANT,83921,CPT,,both,,,474,474,,12,,,,,,,fee schedule,,43,,,,,,,fee schedule,,238,,,,,,,fee schedule,,238,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,85,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,140,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,161,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,75,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,70,,,,,,,fee schedule,,153,,,,,,,fee schedule,,12,238,
83930 - ASSAY OF BLOOD OSMOLALITY,83930,CPT,,both,,,378,378,,22,,,,,,,fee schedule,,17,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,17,132,
83935 - ASSAY OF URINE OSMOLALITY,83935,CPT,,both,,,58,58,,6,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
83937 - ASSAY OF OSTEOCALCIN,83937,CPT,,both,,,59,59,,107,,,,,,,fee schedule,,74,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,180,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,159,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,149,,,,,,,fee schedule,,325,,,,,,,fee schedule,,55,325,
83945 - ASSAY OF OXALATE,83945,CPT,,both,,,242,242,,4,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
83970 - ASSAY OF PARATHORMONE,83970,CPT,,both,,,408,408,,30,,,,,,,fee schedule,,103,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,78,,,,,,,fee schedule,,80,,,,,,,fee schedule,,80,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,69,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,64,,,,,,,fee schedule,,140,,,,,,,fee schedule,,23,140,
83986 - ASSAY PH BODY FLUID NOS,83986,CPT,,both,,,6,6,,  ,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,8,
83993 - ASSAY FOR CALPROTECTIN FECAL,83993,CPT,,both,,,517,517,,138,,,,,,,fee schedule,,49,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,212,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,49,381,
840 - Lymphoma & non-acute leukemia w MCC,840,MS-DRG,,inpatient,,,7690,7690,,581,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,4854,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,2861,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3076,,,,,,,fee schedule,,3138,,,,,,,fee schedule,,3291,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,498,4854,
84080 - ASSAY ALKALINE PHOSPHATASES,84080,CPT,,both,,,278,278,,55,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,471,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,414,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,388,,,,,,,fee schedule,,847,,,,,,,fee schedule,,37,847,
841 - Lymphoma & non-acute leukemia w CC,841,MS-DRG,,inpatient,,,2437,2437,,280,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,161,450,
84100 - ASSAY OF PHOSPHORUS,84100,CPT,,both,,,17,17,,2,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,43,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,2,77,
84105 - ASSAY OF URINE PHOSPHORUS,84105,CPT,,both,,,44,44,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
84110 - ASSAY OF PORPHOBILINOGEN,84110,CPT,,both,,,378,378,,27,,,,,,,fee schedule,,21,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,21,137,
84119 - TEST URINE FOR PORPHYRINS,84119,CPT,,both,,,2,2,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
84132 - ASSAY OF SERUM POTASSIUM,84132,CPT,,both,,,85,85,,3,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,3,83,
84133 - ASSAY OF URINE POTASSIUM,84133,CPT,,both,,,44,44,,4,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
84134 - ASSAY OF PREALBUMIN,84134,CPT,,both,,,174,174,,7,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
84143 - ASSAY OF 17-HYDROXYPREGNENO,84143,CPT,,both,,,51,51,,  ,,,,,,,fee schedule,,56,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,156,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,138,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,129,,,,,,,fee schedule,,281,,,,,,,fee schedule,,1,281,
84144 - ASSAY OF PROGESTERONE,84144,CPT,,both,,,148,148,,15,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,15,76,
84145 - PROCALCITONIN (PCT),84145,CPT,,both,,,94,94,,29,,,,,,,fee schedule,,67,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,94,
84146 - ASSAY OF PROLACTIN,84146,CPT,,both,,,832,832,,164,,,,,,,fee schedule,,48,,,,,,,fee schedule,,589,,,,,,,fee schedule,,589,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,347,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,373,,,,,,,fee schedule,,380,,,,,,,fee schedule,,399,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,48,819,
84153 - ASSAY OF PSA TOTAL,84153,CPT,,both,,,431,431,,69,,,,,,,fee schedule,,46,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,46,,,,,,,fee schedule,,46,,,,,,,fee schedule,,70,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,46,273,
84154 - ASSAY OF PSA FREE,84154,CPT,,both,,,125,125,,28,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,123,
84155 - ASSAY OF PROTEIN SERUM,84155,CPT,,both,,,33,33,,3,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,43,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,2,77,
84156 - ASSAY OF PROTEIN URINE,84156,CPT,,both,,,17,17,,  ,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,9,
84157 - ASSAY OF PROTEIN OTHER,84157,CPT,,both,,,91,91,,10,,,,,,,fee schedule,,9,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,80,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,22,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,26,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,5,145,
84163 - PAPPA SERUM,84163,CPT,,both,,,57,57,,4,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
84165 - PROTEIN E-PHORESIS SERUM,84165,CPT,,both,,,99,99,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,51,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
84166 - PROTEIN E-PHORESIS/URINE/CSF,84166,CPT,,both,,,779,779,,48,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,433,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,381,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,357,,,,,,,fee schedule,,779,,,,,,,fee schedule,,35,779,
84181 - WESTERN BLOT TEST,84181,CPT,,both,,,102,102,,9,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,9,92,
842 - Lymphoma & non-acute leukemia w/o CC/MCC,842,MS-DRG,,inpatient,,,240,240,,69,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,65,132,
84202 - ASSAY RBC PROTOPORPHYRIN,84202,CPT,,both,,,105,105,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
84206 - ASSAY OF PROINSULIN,84206,CPT,,both,,,296,296,,16,,,,,,,fee schedule,,54,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,16,76,
84207 - ASSAY OF VITAMIN B-6,84207,CPT,,both,,,273,273,,20,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,63,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,20,114,
84210 - ASSAY OF PYRUVATE,84210,CPT,,both,,,113,113,,8,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,63,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,8,114,
84220 - ASSAY OF PYRUVATE KINASE,84220,CPT,,both,,,6,6,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
84244 - ASSAY OF RENIN,84244,CPT,,both,,,74,74,,13,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,13,114,
84255 - ASSAY OF SELENIUM,84255,CPT,,both,,,145,145,,13,,,,,,,fee schedule,,64,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,118,,,,,,,fee schedule,,118,,,,,,,fee schedule,,63,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,13,118,
84270 - ASSAY OF SEX HORMONE GLOBUL,84270,CPT,,both,,,115,115,,24,,,,,,,fee schedule,,54,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,98,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,86,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,81,,,,,,,fee schedule,,176,,,,,,,fee schedule,,22,176,
84295 - ASSAY OF SERUM SODIUM,84295,CPT,,both,,,24,24,,  ,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,12,
84300 - ASSAY OF URINE SODIUM,84300,CPT,,both,,,94,94,,5,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,185,,,,,,,fee schedule,,167,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,281,
84305 - ASSAY OF SOMATOMEDIN,84305,CPT,,both,,,139,139,,14,,,,,,,fee schedule,,53,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,42,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,76,
84311 - SPECTROPHOTOMETRY,84311,CPT,,both,,,349,349,,25,,,,,,,fee schedule,,17,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,17,132,
84376 - SUGARS SINGLE QUAL,84376,CPT,,both,,,293,293,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,42,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
844 - Other myeloprolif dis or poorly diff neopl diag w CC,844,MS-DRG,,inpatient,,,513,513,,73,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,162,
84402 - ASSAY OF FREE TESTOSTERONE,84402,CPT,,both,,,359,359,,6,,,,,,,fee schedule,,63,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,300,,,,,,,fee schedule,,300,,,,,,,fee schedule,,84,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,6,300,
84403 - ASSAY OF TOTAL TESTOSTERONE,84403,CPT,,both,,,286,286,,85,,,,,,,fee schedule,,65,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,369,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,325,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,304,,,,,,,fee schedule,,664,,,,,,,fee schedule,,45,664,
84425 - ASSAY OF VITAMIN B-1,84425,CPT,,both,,,785,785,,69,,,,,,,fee schedule,,53,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,229,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,202,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,189,,,,,,,fee schedule,,413,,,,,,,fee schedule,,53,413,
84432 - ASSAY OF THYROGLOBULIN,84432,CPT,,both,,,440,440,,17,,,,,,,fee schedule,,40,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,187,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,171,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,184,,,,,,,fee schedule,,187,,,,,,,fee schedule,,197,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,17,290,
84436 - ASSAY OF TOTAL THYROXINE,84436,CPT,,both,,,349,349,,22,,,,,,,fee schedule,,17,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,17,132,
84439 - ASSAY OF FREE THYROXINE,84439,CPT,,both,,,113,113,,6,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,159,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,140,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,287,,,,,,,fee schedule,,5,287,
84442 - ASSAY OF THYROID ACTIVITY,84442,CPT,,both,,,831,831,,58,,,,,,,fee schedule,,37,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,485,,,,,,,fee schedule,,485,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,37,624,
84443 - ASSAY THYROID STIM HORMONE,84443,CPT,,both,,,349,349,,10,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
84445 - ASSAY OF TSI GLOBULIN,84445,CPT,,both,,,178,178,,78,,,,,,,fee schedule,,122,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,13,1121,
84446 - ASSAY OF VITAMIN E,84446,CPT,,both,,,144,144,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
84450 - TRANSFERASE (AST) (SGOT),84450,CPT,,both,,,23,23,,3,,,,,,,fee schedule,,10,,,,,,,fee schedule,,491,,,,,,,fee schedule,,491,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,86,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,289,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,333,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,3,491,
84460 - ALANINE AMINO (ALT) (SGPT),84460,CPT,,both,,,50,50,,4,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
84466 - ASSAY OF TRANSFERRIN,84466,CPT,,both,,,42,42,,4,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
84478 - ASSAY OF TRIGLYCERIDES,84478,CPT,,both,,,34,34,,3,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
84479 - ASSAY OF THYROID (T3 OR T4),84479,CPT,,both,,,56,56,,5,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
84480 - ASSAY TRIIODOTHYRONINE (T3),84480,CPT,,both,,,121,121,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
84481 - FREE ASSAY (FT-3),84481,CPT,,both,,,169,169,,12,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
84482 - T3 REVERSE,84482,CPT,,both,,,279,279,,12,,,,,,,fee schedule,,39,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,42,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,12,76,
84484 - ASSAY OF TROPONIN QUANT,84484,CPT,,both,,,734,734,,80,,,,,,,fee schedule,,26,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,259,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,228,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,214,,,,,,,fee schedule,,467,,,,,,,fee schedule,,26,467,
84520 - ASSAY OF UREA NITROGEN,84520,CPT,,both,,,27,27,,3,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
84540 - ASSAY OF URINE/UREA-N,84540,CPT,,both,,,17,17,,  ,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,70,
84550 - ASSAY OF BLOOD/URIC ACID,84550,CPT,,both,,,24,24,,3,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,3,74,
84560 - ASSAY OF URINE/URIC ACID,84560,CPT,,both,,,48,48,,3,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
84585 - ASSAY OF URINE VMA,84585,CPT,,both,,,109,109,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,63,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,11,114,
84586 - ASSAY OF VIP,84586,CPT,,both,,,316,316,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,26,147,
84590 - ASSAY OF VITAMIN A,84590,CPT,,both,,,116,116,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,41,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,7,74,
84597 - ASSAY OF VITAMIN K,84597,CPT,,both,,,659,659,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,35,162,
84630 - ASSAY OF ZINC,84630,CPT,,both,,,156,156,,14,,,,,,,fee schedule,,28,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,79,,,,,,,fee schedule,,79,,,,,,,fee schedule,,923,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,38,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,44,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,812,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,760,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,1,1661,
84681 - ASSAY OF C-PEPTIDE,84681,CPT,,both,,,145,145,,15,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,54,,,,,,,fee schedule,,40,,,,,,,fee schedule,,40,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,15,54,
847 - Chemotherapy w/o acute leukemia as secondary diagnosis w CC,847,MS-DRG,,inpatient,,,254,254,,158,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,119,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,112,202,
84702 - CHORIONIC GONADOTROPIN TEST,84702,CPT,,both,,,149,149,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
84703 - CHORIONIC GONADOTROPIN ASSAY,84703,CPT,,both,,,61,61,,5,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,42,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,1,76,
849 - Radiotherapy,849,MS-DRG,,inpatient,,,6826,6826,,189,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,4308,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2539,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2731,,,,,,,fee schedule,,2785,,,,,,,fee schedule,,2922,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,189,4308,
85007 - BL SMEAR W/DIFF WBC COUNT,85007,CPT,,both,,,27,27,,3,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,37,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
85008 - BL SMEAR W/O DIFF WBC COUNT,85008,CPT,,both,,,36,36,,2,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,37,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,2,66,
85009 - MANUAL DIFF WBC COUNT B-COAT,85009,CPT,,both,,,124,124,,3,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
85013 - SPUN MICROHEMATOCRIT,85013,CPT,,both,,,37,37,,3,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
85014 - HEMATOCRIT,85014,CPT,,both,,,4,4,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
85025 - COMPLETE CBC W/AUTO DIFF WBC,85025,CPT,,both,,,236,236,,7,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,94,
85027 - COMPLETE CBC AUTOMATED,85027,CPT,,both,,,36,36,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
85046 - RETICYTE/HGB CONCENTRATE,85046,CPT,,both,,,473,473,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,238,,,,,,,fee schedule,,238,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,86,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,140,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,161,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,4,238,
85097 - BONE MARROW INTERPRETATION,85097,CPT,,both,,,386,386,,29,,,,,,,fee schedule,,97,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,78,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,69,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,64,,,,,,,fee schedule,,140,,,,,,,fee schedule,,18,140,
85210 - CLOT FACTOR II PROTHROM SPEC,85210,CPT,,both,,,122,122,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
85220 - BLOOC CLOT FACTOR V TEST,85220,CPT,,both,,,149,149,,13,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,13,114,
85230 - CLOT FACTOR VII PROCONVERTIN,85230,CPT,,both,,,286,286,,30,,,,,,,fee schedule,,44,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,369,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,325,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,304,,,,,,,fee schedule,,664,,,,,,,fee schedule,,14,664,
85240 - CLOT FACTOR VIII AHG 1 STAGE,85240,CPT,,both,,,146,146,,19,,,,,,,fee schedule,,44,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,59,,,,,,,fee schedule,,176,,,,,,,fee schedule,,159,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,52,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,47,,,,,,,fee schedule,,48,,,,,,,fee schedule,,106,,,,,,,fee schedule,,18,267,
85245 - CLOT FACTOR VIII VW RISTOCTN,85245,CPT,,both,,,385,385,,45,,,,,,,fee schedule,,56,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,29,381,
85246 - CLOT FACTOR VIII VW ANTIGEN,85246,CPT,,both,,,330,330,,  ,,,,,,,fee schedule,,57,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,93,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,85,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,93,,,,,,,fee schedule,,97,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,50,144,
85247 - CLOT FACTOR VIII MULTIMETRIC,85247,CPT,,both,,,28,28,,17,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,63,,,,,,,fee schedule,,44,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,3,114,
85250 - CLOT FACTOR IX PTC/CHRSTMAS,85250,CPT,,both,,,161,161,,14,,,,,,,fee schedule,,47,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,42,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
85270 - CLOT FACTOR XI PTA,85270,CPT,,both,,,762,762,,125,,,,,,,fee schedule,,45,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,259,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,228,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,207,,,,,,,fee schedule,,214,,,,,,,fee schedule,,467,,,,,,,fee schedule,,45,467,
853 - Infectious and parasitic diseases with O.R. procedures with MCC,853,MS-DRG,,inpatient,,,12812,12812,,884,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,8086,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,4766,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5125,,,,,,,fee schedule,,5227,,,,,,,fee schedule,,5484,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,884,8086,
85301 - ANTITHROMBIN III ANTIGEN,85301,CPT,,both,,,413,413,,31,,,,,,,fee schedule,,27,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,27,162,
85302 - CLOT INHIBIT PROT C ANTIGEN,85302,CPT,,both,,,138,138,,4,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
85303 - CLOT INHIBIT PROT C ACTIVITY,85303,CPT,,both,,,51,51,,8,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,42,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
85305 - CLOT INHIBIT PROT S TOTAL,85305,CPT,,both,,,116,116,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,42,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,1,76,
85306 - CLOT INHIBIT PROT S FREE,85306,CPT,,both,,,149,149,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,63,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,11,114,
85347 - COAGULATION TIME ACTIVATED,85347,CPT,,both,,,12,12,,  ,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
85379 - FIBRIN DEGRADATION QUANT,85379,CPT,,both,,,113,113,,6,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,6,74,
85384 - FIBRINOGEN ACTIVITY,85384,CPT,,both,,,321,321,,23,,,,,,,fee schedule,,21,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,21,132,
85397 - CLOTTING FUNCT ACTIVITY,85397,CPT,,both,,,393,393,,89,,,,,,,fee schedule,,62,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,62,381,
854 - Infectious and parasitic diseases with O.R. procedures with CC,854,MS-DRG,,inpatient,,,3442,3442,,243,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,2172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1280,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1377,,,,,,,fee schedule,,1404,,,,,,,fee schedule,,1473,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,243,2172,
85460 - HEMOGLOBIN FETAL,85460,CPT,,both,,,57,57,,  ,,,,,,,fee schedule,,19,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,91,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,38,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,80,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,75,,,,,,,fee schedule,,164,,,,,,,fee schedule,,11,164,
85520 - HEPARIN ASSAY,85520,CPT,,both,,,130,130,,10,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
85536 - IRON STAIN PERIPHERAL BLOOD,85536,CPT,,both,,,24,24,,  ,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,16,
85549 - MURAMIDASE,85549,CPT,,both,,,113,113,,  ,,,,,,,fee schedule,,47,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,169,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,93,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,85,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,91,,,,,,,fee schedule,,93,,,,,,,fee schedule,,97,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,149,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,140,,,,,,,fee schedule,,305,,,,,,,fee schedule,,47,305,
85597 - PHOSPHOLIPID PLTLT NEUTRALIZ,85597,CPT,,both,,,155,155,,13,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,13,76,
85598 - HEXAGNAL PHOSPH PLTLT NEUTRL,85598,CPT,,both,,,11,11,,13,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,42,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,13,76,
856 - Postoperative or post-traumatic infections w O.R. procedure w MC,856,MS-DRG,,inpatient,,,12506,12506,,282,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,7893,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,4652,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5002,,,,,,,fee schedule,,5102,,,,,,,fee schedule,,5353,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,282,7893,
85610 - PROTHROMBIN TIME,85610,CPT,,both,,,188,188,,2,,,,,,,fee schedule,,7,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,86,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,2,176,
85611 - PROTHROMBIN TEST,85611,CPT,,both,,,17,17,,3,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
85613 - RUSSELL VIPER VENOM DILUTED,85613,CPT,,both,,,181,181,,44,,,,,,,fee schedule,,24,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,80,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,5,145,
85652 - RBC SED RATE AUTOMATED,85652,CPT,,both,,,38,38,,2,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,150,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,132,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,123,,,,,,,fee schedule,,270,,,,,,,fee schedule,,2,270,
85660 - RBC SICKLE CELL TEST,85660,CPT,,both,,,134,134,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,86,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,4,155,
85670 - THROMBIN TIME PLASMA,85670,CPT,,both,,,50,50,,3,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,43,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,3,77,
857 - Postoperative or post-traumatic infections w O.R. procedures w C,857,MS-DRG,,inpatient,,,3836,3836,,469,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,2421,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1427,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1534,,,,,,,fee schedule,,1565,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,469,2421,
85730 - THROMBOPLASTIN TIME PARTIAL,85730,CPT,,both,,,312,312,,21,,,,,,,fee schedule,,15,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,80,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,22,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,26,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,13,145,
85732 - THROMBOPLASTIN TIME PARTIAL,85732,CPT,,both,,,34,34,,2,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,2,66,
858 - Postoperative or post-traumatic infections w O.R. proc w/o CC/MC,858,MS-DRG,,inpatient,,,453,453,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,237,,,,,,,fee schedule,,237,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,150,,,,,,,fee schedule,,150,,,,,,,fee schedule,,150,,,,,,,fee schedule,,153,,,,,,,fee schedule,,150,,,,,,,fee schedule,,150,,,,,,,fee schedule,,150,,,,,,,fee schedule,,139,,,,,,,fee schedule,,150,,,,,,,fee schedule,,150,,,,,,,fee schedule,,150,,,,,,,fee schedule,,150,,,,,,,fee schedule,,153,,,,,,,fee schedule,,160,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,139,237,
85810 - BLOOD VISCOSITY EXAMINATION,85810,CPT,,both,,,6,6,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
86003 - ALLG SPEC IGE CRUDE XTRC EA,86003,CPT,,both,,,79,79,,5,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,37,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
86021 - WBC ANTIBODY IDENTIFICATION,86021,CPT,,both,,,57,57,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
86022 - PLATELET ANTIBODIES,86022,CPT,,both,,,37,37,,10,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,84,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,10,151,
86038 - ANTINUCLEAR ANTIBODIES,86038,CPT,,both,,,366,366,,38,,,,,,,fee schedule,,30,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,70,,,,,,,fee schedule,,145,,,,,,,fee schedule,,145,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,30,162,
86039 - ANTINUCLEAR ANTIBODIES (ANA),86039,CPT,,both,,,75,75,,6,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
86060 - ANTISTREPTOLYSIN O TITER,86060,CPT,,both,,,216,216,,16,,,,,,,fee schedule,,18,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,13,132,
86140 - C-REACTIVE PROTEIN,86140,CPT,,both,,,42,42,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,43,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,4,77,
86141 - C-REACTIVE PROTEIN HS,86141,CPT,,both,,,46,46,,21,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,68,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,123,
86146 - BETA-2 GLYCOPROTEIN ANTIBODY,86146,CPT,,both,,,454,454,,52,,,,,,,fee schedule,,63,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,52,,,,,,,fee schedule,,52,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,52,381,
86147 - CARDIOLIPIN ANTIBODY EA IG,86147,CPT,,both,,,2040,2040,,93,,,,,,,fee schedule,,64,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,64,381,
86148 - ANTI-PHOSPHOLIPID ANTIBODY,86148,CPT,,both,,,37,37,,11,,,,,,,fee schedule,,39,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,46,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,10,83,
86160 - COMPLEMENT ANTIGEN,86160,CPT,,both,,,32,32,,6,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,6,74,
86161 - COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,,both,,,56,56,,6,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,41,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,6,74,
86162 - COMPLEMENT TOTAL (CH50),86162,CPT,,both,,,50,50,,19,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,56,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,38,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,49,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,46,,,,,,,fee schedule,,101,,,,,,,fee schedule,,19,160,
862 - Postoperative and post-traumatic infections with MCC,862,MS-DRG,,inpatient,,,661,661,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,239,,,,,,,fee schedule,,239,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,141,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,162,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,621,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,582,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,38,1271,
86215 - DEOXYRIBONUCLEASE ANTIBODY,86215,CPT,,both,,,105,105,,4,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
86225 - DNA ANTIBODY NATIVE,86225,CPT,,both,,,143,143,,12,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,63,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,12,114,
86231 - EMA EACH IG CLASS,86231,CPT,,both,,,13,13,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
86235 - NUCLEAR ANTIGEN ANTIBODY,86235,CPT,,both,,,176,176,,13,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,13,151,
86255 - FLUORESCENT ANTIBODY SCREEN,86255,CPT,,both,,,188,188,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,42,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
86256 - FLUORESCENT ANTIBODY TITER,86256,CPT,,both,,,36,36,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,46,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,9,83,
86258 - DGP ANTIBODY EACH IG CLASS,86258,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
863 - Postoperative and post-traumatic infections without MCC,863,MS-DRG,,inpatient,,,627,627,,71,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,71,127,
86300 - IMMUNOASSAY TUMOR CA 15-3,86300,CPT,,both,,,219,219,,37,,,,,,,fee schedule,,51,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,187,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,22,336,
86301 - IMMUNOASSAY TUMOR CA 19-9,86301,CPT,,both,,,141,141,,46,,,,,,,fee schedule,,52,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,80,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,22,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,26,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,10,145,
86304 - IMMUNOASSAY TUMOR CA 125,86304,CPT,,both,,,71,71,,  ,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,52,52,
86308 - HETEROPHILE ANTIBODY SCREEN,86308,CPT,,both,,,16,16,,3,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,43,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,3,77,
86316 - IMMUNOASSAY TUMOR OTHER,86316,CPT,,both,,,227,227,,15,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,42,,,,,,,fee schedule,,40,,,,,,,fee schedule,,40,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,15,76,
86334 - IMMUNOFIX E-PHORESIS SERUM,86334,CPT,,both,,,260,260,,8,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
86335 - IMMUNFIX E-PHORSIS/URINE/CSF,86335,CPT,,both,,,122,122,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
86336 - INHIBIN A,86336,CPT,,both,,,113,113,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,109,,,,,,,fee schedule,,109,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,109,
86337 - INSULIN ANTIBODIES,86337,CPT,,both,,,209,209,,15,,,,,,,fee schedule,,53,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,63,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,15,114,
86340 - INTRINSIC FACTOR ANTIBODY,86340,CPT,,both,,,210,210,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
86341 - ISLET CELL ANTIBODY,86341,CPT,,both,,,12655,12655,,9670,,,,,,,case rate,,11635,,,,,,,case rate,,9393,,,,,,,case rate,,9393,,,,,,,case rate,,13465,,,,,,,case rate,,13465,,,,,,,case rate,,10050,,,,,,,case rate,,6536,,,,,,,case rate,,  ,,,,,,,case rate,,9553,,,,,,,case rate,,9553,,,,,,,case rate,,9553,,,,,,,case rate,,9744,,,,,,,case rate,,9553,,,,,,,case rate,,9553,,,,,,,case rate,,9553,,,,,,,case rate,,8885,,,,,,,case rate,,9553,,,,,,,case rate,,9553,,,,,,,case rate,,9553,,,,,,,case rate,,9553,,,,,,,case rate,,9744,,,,,,,case rate,,10222,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6536,13465,
86355 - B CELLS TOTAL COUNT,86355,CPT,,both,,,429,429,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,78,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,69,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,64,,,,,,,fee schedule,,140,,,,,,,fee schedule,,26,140,
86359 - T CELLS TOTAL COUNT,86359,CPT,,both,,,2585,2585,,157,,,,,,,fee schedule,,91,,,,,,,fee schedule,,764,,,,,,,fee schedule,,764,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,606,,,,,,,fee schedule,,606,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,450,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,518,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,91,819,
86360 - T CELL ABSOLUTE COUNT/RATIO,86360,CPT,,both,,,1994,1994,,241,,,,,,,fee schedule,,115,,,,,,,fee schedule,,764,,,,,,,fee schedule,,764,,,,,,,fee schedule,,1507,,,,,,,fee schedule,,1507,,,,,,,fee schedule,,961,,,,,,,fee schedule,,532,,,,,,,fee schedule,,532,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,450,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,518,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,845,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,792,,,,,,,fee schedule,,1729,,,,,,,fee schedule,,115,1729,
86376 - MICROSOMAL ANTIBODY EACH,86376,CPT,,both,,,144,144,,11,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
86382 - NEUTRALIZATION TEST VIRAL,86382,CPT,,both,,,26689,26689,,9024,,,,,,,case rate,,10858,,,,,,,case rate,,8766,,,,,,,case rate,,8766,,,,,,,case rate,,12566,,,,,,,case rate,,12566,,,,,,,case rate,,9379,,,,,,,case rate,,6100,,,,,,,case rate,,  ,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9187,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,8376,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9187,,,,,,,case rate,,9637,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6100,12566,
864 - Fever and inflammatory conditions,864,MS-DRG,,inpatient,,,67,67,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,35,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,40,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,35,59,
86430 - RHEUMATOID FACTOR TEST QUAL,86430,CPT,,both,,,63,63,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,42,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
86480 - TB TEST CELL IMMUN MEASURE,86480,CPT,,both,,,1340,1340,,227,,,,,,,fee schedule,,155,,,,,,,fee schedule,,325,,,,,,,fee schedule,,325,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,712,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,192,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,206,,,,,,,fee schedule,,210,,,,,,,fee schedule,,221,,,,,,,fee schedule,,569,,,,,,,fee schedule,,569,,,,,,,fee schedule,,569,,,,,,,fee schedule,,569,,,,,,,fee schedule,,569,,,,,,,fee schedule,,569,,,,,,,fee schedule,,626,,,,,,,fee schedule,,569,,,,,,,fee schedule,,569,,,,,,,fee schedule,,569,,,,,,,fee schedule,,587,,,,,,,fee schedule,,1281,,,,,,,fee schedule,,22,4134,
865 - Viral illness with MCC,865,MS-DRG,,inpatient,,,295,295,,73,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,73,639,
86592 - SYPHILIS TEST NON-TREP QUAL,86592,CPT,,both,,,50,50,,4,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
866 - Viral illness without MCC,866,MS-DRG,,inpatient,,,,,,65,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,65,84,
86606 - ASPERGILLUS ANTIBODY,86606,CPT,,both,,,63,63,,6,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,42,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
86609 - BACTERIUM ANTIBODY,86609,CPT,,both,,,105,105,,9,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,54,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,48,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,45,,,,,,,fee schedule,,97,,,,,,,fee schedule,,3,97,
86611 - BARTONELLA ANTIBODY,86611,CPT,,both,,,59,59,,11,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,60,
86617 - LYME DISEASE ANTIBODY,86617,CPT,,both,,,501,501,,10,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
86625 - CAMPYLOBACTER ANTIBODY,86625,CPT,,both,,,,,,573,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,512,573,
86628 - CANDIDA ANTIBODY,86628,CPT,,both,,,425,425,,24,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,24,
86631 - CHLAMYDIA ANTIBODY,86631,CPT,,both,,,116,116,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,9,83,
86641 - CRYPTOCOCCUS ANTIBODY,86641,CPT,,both,,,390,390,,19,,,,,,,fee schedule,,35,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,353,,,,,,,fee schedule,,19,424,
86644 - CMV ANTIBODY,86644,CPT,,both,,,223,223,,52,,,,,,,fee schedule,,36,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,70,,,,,,,fee schedule,,276,,,,,,,fee schedule,,276,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,36,276,
86645 - CMV ANTIBODY IGM,86645,CPT,,both,,,167,167,,12,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,12,114,
86648 - DIPHTHERIA ANTIBODY,86648,CPT,,both,,,195,195,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,11,114,
86658 - ENTEROVIRUS ANTIBODY,86658,CPT,,both,,,744,744,,63,,,,,,,fee schedule,,33,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,382,,,,,,,fee schedule,,382,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,33,624,
86663 - EPSTEIN-BARR ANTIBODY,86663,CPT,,both,,,24,24,,6,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,6,74,
86664 - EPSTEIN-BARR NUCLEAR ANTIGEN,86664,CPT,,both,,,187,187,,14,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,63,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,14,114,
86665 - EPSTEIN-BARR CAPSID VCA,86665,CPT,,both,,,180,180,,13,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,13,151,
86682 - HELMINTH ANTIBODY,86682,CPT,,both,,,501,501,,48,,,,,,,fee schedule,,33,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,24,162,
86689 - HTLV/HIV CONFIRMJ ANTIBODY,86689,CPT,,both,,,187,187,,14,,,,,,,fee schedule,,48,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,14,151,
86692 - HEPATITIS DELTA AGENT ANTBDY,86692,CPT,,both,,,70,70,,13,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,63,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,11,114,
86694 - HERPES SIMPLEX NES ANTBDY,86694,CPT,,both,,,87,87,,4,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
86695 - HERPES SIMPLEX TYPE 1 TEST,86695,CPT,,both,,,118,118,,14,,,,,,,fee schedule,,33,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,14,222,
86696 - HERPES SIMPLEX TYPE 2 TEST,86696,CPT,,both,,,138,138,,14,,,,,,,fee schedule,,48,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,54,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,48,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,45,,,,,,,fee schedule,,97,,,,,,,fee schedule,,14,97,
86698 - HISTOPLASMA ANTIBODY,86698,CPT,,both,,,455,455,,38,,,,,,,fee schedule,,31,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,18,162,
86704 - HEP B CORE ANTIBODY TOTAL,86704,CPT,,both,,,63,63,,6,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,41,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,6,74,
86705 - HEP B CORE ANTIBODY IGM,86705,CPT,,both,,,56,56,,8,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,42,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
86706 - HEP B SURFACE ANTIBODY,86706,CPT,,both,,,349,349,,32,,,,,,,fee schedule,,26,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,26,162,
86707 - HEPATITIS BE ANTIBODY,86707,CPT,,both,,,366,366,,40,,,,,,,fee schedule,,29,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,40,,,,,,,fee schedule,,40,,,,,,,fee schedule,,70,,,,,,,fee schedule,,145,,,,,,,fee schedule,,145,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,29,162,
86709 - HEPATITIS A IGM ANTIBODY,86709,CPT,,both,,,518,518,,35,,,,,,,fee schedule,,28,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,120,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,105,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,99,,,,,,,fee schedule,,215,,,,,,,fee schedule,,28,424,
86713 - LEGIONELLA ANTIBODY,86713,CPT,,both,,,217,217,,17,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,141,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,12,253,
86735 - MUMPS ANTIBODY,86735,CPT,,both,,,362,362,,37,,,,,,,fee schedule,,33,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,33,162,
86738 - MYCOPLASMA ANTIBODY,86738,CPT,,both,,,54,54,,4,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
86747 - PARVOVIRUS ANTIBODY,86747,CPT,,both,,,187,187,,14,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,63,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,14,114,
86753 - PROTOZOA ANTIBODY NOS,86753,CPT,,both,,,87,87,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
86757 - RICKETTSIA ANTIBODY,86757,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
86762 - RUBELLA ANTIBODY,86762,CPT,,both,,,108,108,,  ,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,156,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,138,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,129,,,,,,,fee schedule,,281,,,,,,,fee schedule,,1,281,
86765 - RUBEOLA ANTIBODY,86765,CPT,,both,,,380,380,,48,,,,,,,fee schedule,,32,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,70,,,,,,,fee schedule,,145,,,,,,,fee schedule,,145,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,28,162,
86769 - SARS-COV-2 COVID-19 ANTIBODY,86769,CPT,,both,,,13347,13347,,10881,,,,,,,case rate,,13092,,,,,,,case rate,,10570,,,,,,,case rate,,10570,,,,,,,case rate,,15151,,,,,,,case rate,,15151,,,,,,,case rate,,11309,,,,,,,case rate,,7355,,,,,,,case rate,,  ,,,,,,,case rate,,10579,,,,,,,case rate,,10579,,,,,,,case rate,,10579,,,,,,,case rate,,10791,,,,,,,case rate,,10579,,,,,,,case rate,,10579,,,,,,,case rate,,10579,,,,,,,case rate,,9839,,,,,,,case rate,,10579,,,,,,,case rate,,10579,,,,,,,case rate,,10579,,,,,,,case rate,,10579,,,,,,,case rate,,10791,,,,,,,case rate,,11320,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7355,15151,
86774 - TETANUS ANTIBODY,86774,CPT,,both,,,144,144,,11,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,63,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,11,114,
86777 - TOXOPLASMA ANTIBODY,86777,CPT,,both,,,99,99,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11,63,
86780 - TREPONEMA PALLIDUM,86780,CPT,,both,,,267,267,,4,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
86784 - TRICHINELLA ANTIBODY,86784,CPT,,both,,,88,88,,9,,,,,,,fee schedule,,31,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
86787 - VARICELLA-ZOSTER ANTIBODY,86787,CPT,,both,,,419,419,,34,,,,,,,fee schedule,,32,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,32,162,
86788 - WEST NILE VIRUS AB IGM,86788,CPT,,both,,,142,142,,12,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,12,76,
86790 - VIRUS ANTIBODY NOS,86790,CPT,,both,,,630,630,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,558,,,,,,,fee schedule,,558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,382,,,,,,,fee schedule,,382,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,329,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,361,,,,,,,fee schedule,,378,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,29,624,
86794 - ZIKA VIRUS IGM ANTIBODY,86794,CPT,,both,,,280,280,,18,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,392,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,345,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,323,,,,,,,fee schedule,,705,,,,,,,fee schedule,,18,798,
868 - Other infectious and parasitic diseases diagnoses with CC,868,MS-DRG,,inpatient,,,921,921,,140,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,140,140,
86800 - THYROGLOBULIN ANTIBODY,86800,CPT,,both,,,860,860,,25,,,,,,,fee schedule,,39,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,292,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,257,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,234,,,,,,,fee schedule,,241,,,,,,,fee schedule,,526,,,,,,,fee schedule,,25,526,
86803 - HEPATITIS C AB TEST,86803,CPT,,both,,,121,121,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,41,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,11,74,
86805 - LYMPHOCYTOTOXICITY ASSAY,86805,CPT,,both,,,480,480,,241,,,,,,,fee schedule,,343,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,143,,,,,,,fee schedule,,143,,,,,,,fee schedule,,112,,,,,,,fee schedule,,208,,,,,,,fee schedule,,208,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,343,
86812 - HLA TYPING A B OR C,86812,CPT,,both,,,528,528,,73,,,,,,,fee schedule,,65,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,65,381,
86813 - HLA TYPING A B OR C,86813,CPT,,both,,,2250,2250,,201,,,,,,,fee schedule,,141,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,433,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,381,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,357,,,,,,,fee schedule,,779,,,,,,,fee schedule,,112,779,
86828 - HLA CLASS I&II ANTIBODY QUAL,86828,CPT,,both,,,276,276,,78,,,,,,,fee schedule,,126,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,132,
86833 - HLA CLASS II HIGH DEFIN QUAL,86833,CPT,,both,,,728,728,,154,,,,,,,fee schedule,,524,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,406,,,,,,,fee schedule,,406,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,154,524,
86850 - RBC ANTIBODY SCREEN,86850,CPT,,both,,,319,319,,8,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,186,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,163,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,153,,,,,,,fee schedule,,334,,,,,,,fee schedule,,8,334,
86860 - RBC ANTIBODY ELUTION,86860,CPT,,both,,,267,267,,20,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,20,114,
86870 - RBC ANTIBODY IDENTIFICATION,86870,CPT,,both,,,88,88,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,396,,,,,,,fee schedule,,396,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,26,396,
86880 - COOMBS TEST DIRECT,86880,CPT,,both,,,37,37,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
86886 - COOMBS TEST INDIRECT TITER,86886,CPT,,both,,,34,34,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
86900 - BLOOD TYPING SEROLOGIC ABO,86900,CPT,,both,,,9,9,,  ,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,7,
86901 - BLOOD TYPING SEROLOGIC RH(D),86901,CPT,,both,,,8,8,,  ,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
86905 - BLOOD TYPING RBC ANTIGENS,86905,CPT,,both,,,67,67,,3,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,3,74,
86906 - BLD TYPING SEROLOGIC RH PHNT,86906,CPT,,both,,,46,46,,  ,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,423,,,,,,,fee schedule,,423,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,423,
86927 - PLASMA FRESH FROZEN,86927,CPT,,both,,,399,399,,11,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
86985 - SPLIT BLOOD OR PRODUCTS,86985,CPT,,both,,,217,217,,16,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,63,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,16,114,
870 - Septicemia or severe sepsis with MV >96 hours,870,MS-DRG,,inpatient,,,16560,16560,,906,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10451,,,,,,,fee schedule,,10451,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6757,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6160,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6624,,,,,,,fee schedule,,6757,,,,,,,fee schedule,,7088,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,786,10451,
87040 - BLOOD CULTURE FOR BACTERIA,87040,CPT,,both,,,25,25,,  ,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,25,
87045 - FECES CULTURE AEROBIC BACT,87045,CPT,,both,,,23,23,,  ,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,22,
87070 - CULTURE OTHR SPECIMN AEROBIC,87070,CPT,,both,,,485,485,,26,,,,,,,fee schedule,,22,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,22,162,
87075 - CULTR BACTERIA EXCEPT BLOOD,87075,CPT,,both,,,413,413,,26,,,,,,,fee schedule,,23,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,23,162,
87081 - CULTURE SCREEN ONLY,87081,CPT,,both,,,692,692,,19,,,,,,,fee schedule,,17,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,163,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,144,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,131,,,,,,,fee schedule,,135,,,,,,,fee schedule,,294,,,,,,,fee schedule,,12,294,
87086 - URINE CULTURE/COLONY COUNT,87086,CPT,,both,,,256,256,,3,,,,,,,fee schedule,,20,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,86,,,,,,,fee schedule,,110,,,,,,,fee schedule,,110,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,45,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,51,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,3,155,
871 - Septicemia or severe sepsis without MV >96 hours with MCC,871,MS-DRG,,inpatient,,,45381,45381,,1834,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1422,1834,
87106 - FUNGI IDENTIFICATION YEAST,87106,CPT,,both,,,98,98,,11,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,40,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,6,83,
87110 - CHLAMYDIA CULTURE,87110,CPT,,both,,,193,193,,14,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,63,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,14,114,
87116 - MYCOBACTERIA CULTURE,87116,CPT,,both,,,129,129,,10,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
87154 - CUL TYP ID BLD PTHGN 6+ TRGT,87154,CPT,,both,,,15435,15435,,16120,,,,,,,case rate,,19396,,,,,,,case rate,,15659,,,,,,,case rate,,15659,,,,,,,case rate,,22446,,,,,,,case rate,,22446,,,,,,,case rate,,16754,,,,,,,case rate,,10896,,,,,,,case rate,,  ,,,,,,,case rate,,15018,,,,,,,case rate,,15018,,,,,,,case rate,,15018,,,,,,,case rate,,15318,,,,,,,case rate,,15018,,,,,,,case rate,,15018,,,,,,,case rate,,15018,,,,,,,case rate,,13966,,,,,,,case rate,,15018,,,,,,,case rate,,15018,,,,,,,case rate,,15018,,,,,,,case rate,,15018,,,,,,,case rate,,15318,,,,,,,case rate,,16069,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10896,22446,
87177 - OVA AND PARASITES SMEARS,87177,CPT,,both,,,99,99,,6,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,64,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,115,,,,,,,fee schedule,,2,115,
872 - Septicemia or severe sepsis without MV >96 hours without MCC,872,MS-DRG,,inpatient,,,238,238,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
87205 - SMEAR GRAM STAIN,87205,CPT,,both,,,44,44,,4,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
87207 - SMEAR SPECIAL STAIN,87207,CPT,,both,,,93,93,,8,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,8,83,
87210 - SMEAR WET MOUNT SALINE/INK,87210,CPT,,both,,,13,13,,3,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,43,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,2,77,
87220 - TISSUE EXAM FOR FUNGI,87220,CPT,,both,,,39,39,,4,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
87252 - VIRUS INOCULATION TISSUE,87252,CPT,,both,,,186,186,,19,,,,,,,fee schedule,,65,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19,65,
87305 - ASPERGILLUS AG IA,87305,CPT,,both,,,45,45,,5,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,5,76,
87329 - GIARDIA AG IA,87329,CPT,,both,,,110,110,,8,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
87338 - HPYLORI STOOL AG IA,87338,CPT,,both,,,340,340,,8,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
87340 - HEPATITIS B SURFACE AG IA,87340,CPT,,both,,,44,44,,14,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,80,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,5,145,
87350 - HEPATITIS BE AG IA,87350,CPT,,both,,,572,572,,28,,,,,,,fee schedule,,29,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,27,162,
87385 - HISTOPLASMA CAPSUL AG IA,87385,CPT,,both,,,116,116,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,42,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
87390 - HIV-1 AG IA,87390,CPT,,both,,,305,305,,21,,,,,,,fee schedule,,49,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,131,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,115,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,108,,,,,,,fee schedule,,236,,,,,,,fee schedule,,21,236,
87400 - INFLUENZA A/B EACH AG IA,87400,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
87449 - NOS EACH ORGANISM AG IA,87449,CPT,,both,,,26,26,,  ,,,,,,,fee schedule,,24,,,,,,,fee schedule,,26,,,,,,,fee schedule,,26,,,,,,,fee schedule,,368,,,,,,,fee schedule,,368,,,,,,,fee schedule,,70,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,15,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,18,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,368,
87483 - CNS DNA AMP PROBE TYPE 12-25,87483,CPT,,both,,,1703,1703,,312,,,,,,,fee schedule,,1054,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,91,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,186,,,,,,,fee schedule,,20,1054,
87491 - CHLMYD TRACH DNA AMP PROBE,87491,CPT,,both,,,138,138,,25,,,,,,,fee schedule,,86,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,75,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,66,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,62,,,,,,,fee schedule,,135,,,,,,,fee schedule,,25,135,
87493 - C DIFF AMPLIFIED PROBE,87493,CPT,,both,,,160,160,,  ,,,,,,,fee schedule,,88,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,423,,,,,,,fee schedule,,423,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,423,
87496 - CYTOMEG DNA AMP PROBE,87496,CPT,,both,,,517,517,,75,,,,,,,fee schedule,,88,,,,,,,fee schedule,,238,,,,,,,fee schedule,,238,,,,,,,fee schedule,,328,,,,,,,fee schedule,,328,,,,,,,fee schedule,,134,,,,,,,fee schedule,,265,,,,,,,fee schedule,,265,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,140,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,161,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,75,328,
87497 - CYTOMEG DNA QUANT,87497,CPT,,both,,,296,296,,31,,,,,,,fee schedule,,105,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,78,,,,,,,fee schedule,,81,,,,,,,fee schedule,,81,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,69,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,62,,,,,,,fee schedule,,64,,,,,,,fee schedule,,140,,,,,,,fee schedule,,31,140,
87517 - HEPATITIS B DNA QUANT,87517,CPT,,both,,,252,252,,63,,,,,,,fee schedule,,104,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,187,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,46,336,
87522 - HEPATITIS C REVRS TRNSCRPJ,87522,CPT,,both,,,105,105,,  ,,,,,,,fee schedule,,105,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,95,160,
87529 - HSV DNA AMP PROBE,87529,CPT,,both,,,682,682,,90,,,,,,,fee schedule,,88,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,187,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,56,336,
87535 - HIV-1 PROBE&REVERSE TRNSCRPJ,87535,CPT,,both,,,295,295,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,24,147,
87536 - HIV-1 QUANT&REVRSE TRNSCRPJ,87536,CPT,,both,,,312,312,,128,,,,,,,fee schedule,,200,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,169,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,75,221,
87538 - HIV-2 PROBE&REVRSE TRNSCRIPJ,87538,CPT,,both,,,637,637,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,9,147,
87624 - HPV HIGH-RISK TYPES,87624,CPT,,both,,,106,106,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,24,147,
87635 - SARS-COV-2 COVID-19 AMP PRB,87635,CPT,,both,,,13632,13632,,11366,,,,,,,case rate,,13676,,,,,,,case rate,,11041,,,,,,,case rate,,11041,,,,,,,case rate,,15827,,,,,,,case rate,,15827,,,,,,,case rate,,11813,,,,,,,case rate,,7683,,,,,,,case rate,,  ,,,,,,,case rate,,10991,,,,,,,case rate,,10991,,,,,,,case rate,,10991,,,,,,,case rate,,11210,,,,,,,case rate,,10991,,,,,,,case rate,,10991,,,,,,,case rate,,10991,,,,,,,case rate,,10221,,,,,,,case rate,,10991,,,,,,,case rate,,10991,,,,,,,case rate,,10991,,,,,,,case rate,,10991,,,,,,,case rate,,11210,,,,,,,case rate,,11760,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7683,15827,
87798 - DETECT AGENT NOS DNA AMP,87798,CPT,,both,,,2027,2027,,94,,,,,,,fee schedule,,85,,,,,,,fee schedule,,955,,,,,,,fee schedule,,955,,,,,,,fee schedule,,836,,,,,,,fee schedule,,836,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,526,,,,,,,fee schedule,,500,,,,,,,fee schedule,,605,,,,,,,fee schedule,,605,,,,,,,fee schedule,,605,,,,,,,fee schedule,,617,,,,,,,fee schedule,,605,,,,,,,fee schedule,,605,,,,,,,fee schedule,,605,,,,,,,fee schedule,,563,,,,,,,fee schedule,,605,,,,,,,fee schedule,,605,,,,,,,fee schedule,,605,,,,,,,fee schedule,,605,,,,,,,fee schedule,,617,,,,,,,fee schedule,,648,,,,,,,fee schedule,,291,,,,,,,fee schedule,,291,,,,,,,fee schedule,,291,,,,,,,fee schedule,,291,,,,,,,fee schedule,,291,,,,,,,fee schedule,,291,,,,,,,fee schedule,,320,,,,,,,fee schedule,,291,,,,,,,fee schedule,,291,,,,,,,fee schedule,,291,,,,,,,fee schedule,,300,,,,,,,fee schedule,,655,,,,,,,fee schedule,,80,955,
87799 - DETECT AGENT NOS DNA QUANT,87799,CPT,,both,,,134,134,,30,,,,,,,fee schedule,,105,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,79,,,,,,,fee schedule,,79,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,30,105,
87801 - DETECT AGNT MULT DNA AMPLI,87801,CPT,,both,,,12618,12618,,11481,,,,,,,case rate,,13814,,,,,,,case rate,,11153,,,,,,,case rate,,11153,,,,,,,case rate,,15987,,,,,,,case rate,,15987,,,,,,,case rate,,11933,,,,,,,case rate,,7761,,,,,,,case rate,,  ,,,,,,,case rate,,11088,,,,,,,case rate,,11088,,,,,,,case rate,,11088,,,,,,,case rate,,11310,,,,,,,case rate,,11088,,,,,,,case rate,,11088,,,,,,,case rate,,11088,,,,,,,case rate,,10312,,,,,,,case rate,,11088,,,,,,,case rate,,11088,,,,,,,case rate,,11088,,,,,,,case rate,,11088,,,,,,,case rate,,11310,,,,,,,case rate,,11864,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7761,15987,
87806 - HIV AG W/HIV1&2 ANTB W/OPTIC,87806,CPT,,both,,,12037,12037,,9827,,,,,,,case rate,,11824,,,,,,,case rate,,9546,,,,,,,case rate,,9546,,,,,,,case rate,,13684,,,,,,,case rate,,13684,,,,,,,case rate,,10214,,,,,,,case rate,,6643,,,,,,,case rate,,  ,,,,,,,case rate,,9686,,,,,,,case rate,,9686,,,,,,,case rate,,9686,,,,,,,case rate,,9880,,,,,,,case rate,,9686,,,,,,,case rate,,9686,,,,,,,case rate,,9686,,,,,,,case rate,,9008,,,,,,,case rate,,9686,,,,,,,case rate,,9686,,,,,,,case rate,,9686,,,,,,,case rate,,9686,,,,,,,case rate,,9880,,,,,,,case rate,,10364,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6643,13684,
87809 - ADENOVIRUS ASSAY W/OPTIC,87809,CPT,,both,,,46265,46265,,950,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,29198,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,17210,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18506,,,,,,,fee schedule,,18876,,,,,,,fee schedule,,19801,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,906,29198,
87810 - CHLMYD TRACH ASSAY W/OPTIC,87810,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
87850 - N. GONORRHOEAE ASSAY W/OPTIC,87850,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
87880 - STREP A ASSAY W/OPTIC,87880,CPT,,both,,,14,14,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
87899 - AGENT NOS ASSAY W/OPTIC,87899,CPT,,both,,,120,120,,10,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,10,114,
87900 - PHENOTYPE INFECT AGENT DRUG,87900,CPT,,both,,,852,852,,15,,,,,,,fee schedule,,295,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,134,,,,,,,fee schedule,,228,,,,,,,fee schedule,,228,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,15,295,
87901 - NFCT AGT GNTYP ALYS HIV1 REV,87901,CPT,,both,,,482,482,,  ,,,,,,,fee schedule,,510,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,510,510,
87902 - NFCT AGT GNTYP ALYS HEP C,87902,CPT,,both,,,,,,195,,,,,,,fee schedule,,450,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,433,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,195,450,
87906 - NFCT AGT GNTYP ALYS HIV1,87906,CPT,,both,,,993,993,,65,,,,,,,fee schedule,,281,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,465,,,,,,,fee schedule,,465,,,,,,,fee schedule,,,,,,,,,fee schedule,,321,,,,,,,fee schedule,,321,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,65,465,
880 - Acute adjustment reaction and psychosocial dysfunction,880,MS-DRG,,inpatient,,,,,,69,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,69,88,
88142 - CYTOPATH C/V THIN LAYER,88142,CPT,,both,,,483,483,,11,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
88160 - CYTOPATH SMEAR OTHER SOURCE,88160,CPT,,both,,,50,50,,  ,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,50,
88173 - CYTOPATH EVAL FNA REPORT,88173,CPT,,both,,,15003,15003,,  ,,,,,,,fee schedule,,137,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10932,,,,,,,fee schedule,,10932,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,137,10932,
88184 - FLOWCYTOMETRY/ TC 1 MARKER,88184,CPT,,both,,,211,211,,90,,,,,,,fee schedule,,135,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,89,,,,,,,fee schedule,,89,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,135,
882 - Neuroses except depressive,882,MS-DRG,,inpatient,,,173,173,,51,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,87,
88230 - TISSUE CULTURE LYMPHOCYTE,88230,CPT,,both,,,291,291,,160,,,,,,,fee schedule,,254,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,112,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,254,
88237 - TISSUE CULTURE BONE MARROW,88237,CPT,,both,,,668,668,,178,,,,,,,fee schedule,,272,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,264,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,233,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,218,,,,,,,fee schedule,,476,,,,,,,fee schedule,,130,841,
88248 - CHROMOSOME ANALYSIS 50-100,88248,CPT,,both,,,932,932,,100,,,,,,,fee schedule,,379,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,321,,,,,,,fee schedule,,321,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,100,379,
88262 - CHROMOSOME ANALYSIS 15-20,88262,CPT,,both,,,704,704,,92,,,,,,,fee schedule,,258,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,194,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,170,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,159,,,,,,,fee schedule,,348,,,,,,,fee schedule,,35,378,
88271 - CYTOGENETICS DNA PROBE,88271,CPT,,both,,,11220,11220,,10171,,,,,,,case rate,,12238,,,,,,,case rate,,9880,,,,,,,case rate,,9880,,,,,,,case rate,,14163,,,,,,,case rate,,14163,,,,,,,case rate,,10571,,,,,,,case rate,,6875,,,,,,,case rate,,  ,,,,,,,case rate,,9978,,,,,,,case rate,,9978,,,,,,,case rate,,9978,,,,,,,case rate,,10177,,,,,,,case rate,,9978,,,,,,,case rate,,9978,,,,,,,case rate,,9978,,,,,,,case rate,,9279,,,,,,,case rate,,9978,,,,,,,case rate,,9978,,,,,,,case rate,,9978,,,,,,,case rate,,9978,,,,,,,case rate,,10177,,,,,,,case rate,,10676,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6875,14163,
88275 - CYTOGENETICS 100-300,88275,CPT,,both,,,3858,3858,,386,,,,,,,fee schedule,,101,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,961,,,,,,,fee schedule,,1712,,,,,,,fee schedule,,1712,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1363,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,845,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,792,,,,,,,fee schedule,,1729,,,,,,,fee schedule,,101,2010,
88300 - SURGICAL PATH GROSS,88300,CPT,,both,,,24,24,,2,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,2,66,
88302 - TISSUE EXAM BY PATHOLOGIST,88302,CPT,,both,,,42,42,,4,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,43,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,4,77,
88304 - TISSUE EXAM BY PATHOLOGIST,88304,CPT,,both,,,172,172,,  ,,,,,,,fee schedule,,22,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,416,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,5,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,366,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,749,,,,,,,fee schedule,,1,749,
88305 - TISSUE EXAM BY PATHOLOGIST,88305,CPT,,both,,,224,224,,50,,,,,,,fee schedule,,74,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,4,1121,
88307 - TISSUE EXAM BY PATHOLOGIST,88307,CPT,,both,,,1,1,,59,,,,,,,fee schedule,,157,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,59,157,
88311 - DECALCIFY TISSUE,88311,CPT,,both,,,121,121,,9,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,54,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,48,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,45,,,,,,,fee schedule,,97,,,,,,,fee schedule,,9,97,
88312 - SPECIAL STAINS GROUP 1,88312,CPT,,both,,,227,227,,15,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,11,74,
88313 - SPECIAL STAINS GROUP 2,88313,CPT,,both,,,198,198,,7,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,42,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
88331 - PATH CONSULT INTRAOP 1 BLOC,88331,CPT,,both,,,600,600,,35,,,,,,,fee schedule,,120,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,64,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,53,,,,,,,fee schedule,,115,,,,,,,fee schedule,,23,120,
88341 - IMMUNOHISTO ANTB ADDL SLIDE,88341,CPT,,both,,,380,380,,16,,,,,,,fee schedule,,55,,,,,,,fee schedule,,238,,,,,,,fee schedule,,238,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,85,,,,,,,fee schedule,,180,,,,,,,fee schedule,,180,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,140,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,161,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,75,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,68,,,,,,,fee schedule,,70,,,,,,,fee schedule,,153,,,,,,,fee schedule,,13,238,
88342 - IMMUNOHISTO ANTB 1ST STAIN,88342,CPT,,both,,,759,759,,167,,,,,,,fee schedule,,69,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,139,,,,,,,fee schedule,,139,,,,,,,fee schedule,,828,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,56,1491,
88344 - IMMUNOHISTO ANTIBODY SLIDE,88344,CPT,,both,,,152,152,,22,,,,,,,fee schedule,,75,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,75,,,,,,,fee schedule,,58,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,66,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,62,,,,,,,fee schedule,,135,,,,,,,fee schedule,,22,135,
88346 - IMMUNOFLUOR ANTB 1ST STAIN,88346,CPT,,both,,,538,538,,88,,,,,,,fee schedule,,68,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,217,,,,,,,fee schedule,,217,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,68,624,
88348 - ELECTRON MICROSCOPY,88348,CPT,,both,,,253,253,,61,,,,,,,fee schedule,,144,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,61,168,
88360 - TUMOR IMMUNOHISTOCHEM/MANUAL,88360,CPT,,both,,,513,513,,71,,,,,,,fee schedule,,85,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,155,,,,,,,fee schedule,,155,,,,,,,fee schedule,,212,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,71,381,
884 - Organic disturbances and mental retardation,884,MS-DRG,,inpatient,,,1388,1388,,170,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,876,,,,,,,fee schedule,,876,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,516,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,555,,,,,,,fee schedule,,566,,,,,,,fee schedule,,594,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,27,876,
885 - Psychoses,885,MS-DRG,,inpatient,,,769,769,,112,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,111,273,
886 - Behavioral and developmental disorders,886,MS-DRG,,inpatient,,,369,369,,20,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,417,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,367,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,750,,,,,,,fee schedule,,20,750,
89050 - BODY FLUID CELL COUNT,89050,CPT,,both,,,54,54,,3,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,3,66,
89051 - BODY FLUID CELL COUNT,89051,CPT,,both,,,44,44,,5,,,,,,,fee schedule,,14,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,91,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,80,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,73,,,,,,,fee schedule,,75,,,,,,,fee schedule,,164,,,,,,,fee schedule,,5,841,
89060 - EXAM SYNOVIAL FLUID CRYSTALS,89060,CPT,,both,,,51,51,,9,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
"894 - Alcohol, drug abuse or dependence, left AMA",894,MS-DRG,,inpatient,,,297,297,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,1,
896 - Alcohol/drug abuse or dependence w/o rehabilitation therapy w MC,896,MS-DRG,,inpatient,,,385,385,,35,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,81,,,,,,,fee schedule,,81,,,,,,,fee schedule,,235,,,,,,,fee schedule,,616,,,,,,,fee schedule,,554,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,207,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,194,,,,,,,fee schedule,,424,,,,,,,fee schedule,,35,933,
"897 - Alcohol, drug abuse or dependence without rehab therapy w/o MCC",897,MS-DRG,,inpatient,,,93,93,,49,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,49,93,
903 - Wound debridements for injuries without CC/MCC,903,MS-DRG,,inpatient,,,341,341,,9,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,9,222,
90375 - RABIES IG IM/SC,90375,CPT,,both,,,800,800,,119,,,,,,,fee schedule,,440,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,268,,,,,,,fee schedule,,315,,,,,,,fee schedule,,315,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,215,,,,,,,fee schedule,,215,,,,,,,fee schedule,,215,,,,,,,fee schedule,,215,,,,,,,fee schedule,,215,,,,,,,fee schedule,,215,,,,,,,fee schedule,,236,,,,,,,fee schedule,,215,,,,,,,fee schedule,,215,,,,,,,fee schedule,,215,,,,,,,fee schedule,,221,,,,,,,fee schedule,,483,,,,,,,fee schedule,,119,483,
90378 - RSV MAB IM 50MG,90378,CPT,,both,,,4187,4187,,1661,,,,,,,fee schedule,,2853,,,,,,,fee schedule,,429,,,,,,,fee schedule,,429,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,201,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,277,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,253,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,277,,,,,,,fee schedule,,291,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,176,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,165,,,,,,,fee schedule,,361,,,,,,,fee schedule,,1,2853,
90471 - IMMUNIZATION ADMIN,90471,CPT,,both,,,164,164,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,12,92,
90472 - IMMUNIZATION ADMIN EACH ADD,90472,CPT,,both,,,680,680,,  ,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
90620 - MENB-4C VACC 2 DOSE IM,90620,CPT,,both,,,393,393,,165,,,,,,,fee schedule,,267,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,112,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,267,
90621 - MENB-FHBP VACC 2/3 DOSE IM,90621,CPT,,both,,,406,406,,105,,,,,,,fee schedule,,239,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,131,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,115,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,108,,,,,,,fee schedule,,236,,,,,,,fee schedule,,100,239,
90632 - HEPA VACCINE ADULT IM,90632,CPT,,both,,,252,252,,94,,,,,,,fee schedule,,122,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,187,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,66,336,
90633 - HEPA VACC PED/ADOL 2 DOSE IM,90633,CPT,,both,,,301,301,,6,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,6,151,
90636 - HEP A/HEP B VACC ADULT IM,90636,CPT,,both,,,679,679,,80,,,,,,,fee schedule,,183,,,,,,,fee schedule,,843,,,,,,,fee schedule,,843,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,263,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,545,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,497,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,534,,,,,,,fee schedule,,545,,,,,,,fee schedule,,572,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,231,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,210,,,,,,,fee schedule,,216,,,,,,,fee schedule,,473,,,,,,,fee schedule,,80,843,
90648 - HIB PRP-T VACCINE 4 DOSE IM,90648,CPT,,both,,,110,110,,6,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,66,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,58,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,54,,,,,,,fee schedule,,118,,,,,,,fee schedule,,6,118,
90651 - 9VHPV VACCINE 2/3 DOSE IM,90651,CPT,,both,,,483,483,,70,,,,,,,fee schedule,,348,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,70,348,
90670 - PCV13 VACCINE IM,90670,CPT,,both,,,386,386,,195,,,,,,,fee schedule,,316,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,253,,,,,,,fee schedule,,253,,,,,,,fee schedule,,112,,,,,,,fee schedule,,188,,,,,,,fee schedule,,188,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,316,
90675 - RABIES VACCINE IM,90675,CPT,,both,,,2784,2784,,168,,,,,,,fee schedule,,441,,,,,,,fee schedule,,1163,,,,,,,fee schedule,,1163,,,,,,,fee schedule,,156,,,,,,,fee schedule,,156,,,,,,,fee schedule,,220,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,737,,,,,,,fee schedule,,737,,,,,,,fee schedule,,737,,,,,,,fee schedule,,752,,,,,,,fee schedule,,737,,,,,,,fee schedule,,737,,,,,,,fee schedule,,737,,,,,,,fee schedule,,685,,,,,,,fee schedule,,737,,,,,,,fee schedule,,737,,,,,,,fee schedule,,737,,,,,,,fee schedule,,737,,,,,,,fee schedule,,752,,,,,,,fee schedule,,788,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,193,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,181,,,,,,,fee schedule,,396,,,,,,,fee schedule,,156,1163,
90677 - PCV20 VACCINE IM,90677,CPT,,both,,,23308,23308,,18447,,,,,,,case rate,,22197,,,,,,,case rate,,17920,,,,,,,case rate,,17920,,,,,,,case rate,,25688,,,,,,,case rate,,25688,,,,,,,case rate,,19173,,,,,,,case rate,,12470,,,,,,,case rate,,  ,,,,,,,case rate,,16990,,,,,,,case rate,,16990,,,,,,,case rate,,16990,,,,,,,case rate,,17330,,,,,,,case rate,,16990,,,,,,,case rate,,16990,,,,,,,case rate,,16990,,,,,,,case rate,,15801,,,,,,,case rate,,16990,,,,,,,case rate,,16990,,,,,,,case rate,,16990,,,,,,,case rate,,16990,,,,,,,case rate,,17330,,,,,,,case rate,,18179,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12470,25688,
90680 - RV5 VACC 3 DOSE LIVE ORAL,90680,CPT,,both,,,215,215,,45,,,,,,,fee schedule,,155,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,94,,,,,,,fee schedule,,120,,,,,,,fee schedule,,120,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,83,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,75,,,,,,,fee schedule,,78,,,,,,,fee schedule,,170,,,,,,,fee schedule,,45,170,
90681 - RV1 VACC 2 DOSE LIVE ORAL,90681,CPT,,both,,,683,683,,63,,,,,,,fee schedule,,215,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,82,,,,,,,fee schedule,,167,,,,,,,fee schedule,,167,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,29,215,
90682 - RIV4 VACC RECOMBINANT DNA IM,90682,CPT,,both,,,12151,12151,,11952,,,,,,,case rate,,14381,,,,,,,case rate,,11611,,,,,,,case rate,,11611,,,,,,,case rate,,16643,,,,,,,case rate,,16643,,,,,,,case rate,,12422,,,,,,,case rate,,8079,,,,,,,case rate,,  ,,,,,,,case rate,,11487,,,,,,,case rate,,11487,,,,,,,case rate,,11487,,,,,,,case rate,,11717,,,,,,,case rate,,11487,,,,,,,case rate,,11487,,,,,,,case rate,,11487,,,,,,,case rate,,10683,,,,,,,case rate,,11487,,,,,,,case rate,,11487,,,,,,,case rate,,11487,,,,,,,case rate,,11487,,,,,,,case rate,,11717,,,,,,,case rate,,12291,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8079,16643,
90686 - IIV4 VACC NO PRSV 0.5 ML IM,90686,CPT,,both,,,113,113,,8,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,8,92,
90691 - TYPHOID VACCINE IM,90691,CPT,,both,,,560,560,,72,,,,,,,fee schedule,,119,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,72,270,
90694 - VACC AIIV4 NO PRSRV 0.5ML IM,90694,CPT,,both,,,9309,9309,,12106,,,,,,,case rate,,14566,,,,,,,case rate,,11760,,,,,,,case rate,,11760,,,,,,,case rate,,16858,,,,,,,case rate,,16858,,,,,,,case rate,,12582,,,,,,,case rate,,8183,,,,,,,case rate,,  ,,,,,,,case rate,,11617,,,,,,,case rate,,11617,,,,,,,case rate,,11617,,,,,,,case rate,,11850,,,,,,,case rate,,11617,,,,,,,case rate,,11617,,,,,,,case rate,,11617,,,,,,,case rate,,10804,,,,,,,case rate,,11617,,,,,,,case rate,,11617,,,,,,,case rate,,11617,,,,,,,case rate,,11617,,,,,,,case rate,,11850,,,,,,,case rate,,12431,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8183,16858,
90696 - DTAP-IPV VACCINE 4-6 YRS IM,90696,CPT,,both,,,424,424,,27,,,,,,,fee schedule,,94,,,,,,,fee schedule,,491,,,,,,,fee schedule,,491,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,86,,,,,,,fee schedule,,265,,,,,,,fee schedule,,265,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,289,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,333,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,27,491,
90697 - DTAP-IPV-HIB-HEPB VACCINE IM,90697,CPT,,both,,,13904,13904,,15328,,,,,,,case rate,,18443,,,,,,,case rate,,14890,,,,,,,case rate,,14890,,,,,,,case rate,,21344,,,,,,,case rate,,21344,,,,,,,case rate,,15931,,,,,,,case rate,,10361,,,,,,,case rate,,  ,,,,,,,case rate,,14347,,,,,,,case rate,,14347,,,,,,,case rate,,14347,,,,,,,case rate,,14634,,,,,,,case rate,,14347,,,,,,,case rate,,14347,,,,,,,case rate,,14347,,,,,,,case rate,,13343,,,,,,,case rate,,14347,,,,,,,case rate,,14347,,,,,,,case rate,,14347,,,,,,,case rate,,14347,,,,,,,case rate,,14634,,,,,,,case rate,,15351,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10361,21344,
90698 - DTAP-IPV/HIB VACCINE IM,90698,CPT,,both,,,1,1,,63,,,,,,,fee schedule,,166,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,184,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,162,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,147,,,,,,,fee schedule,,151,,,,,,,fee schedule,,330,,,,,,,fee schedule,,63,330,
907 - Other O.R. procedures for injuries with MCC,907,MS-DRG,,inpatient,,,9587,9587,,1145,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,6051,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3566,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3835,,,,,,,fee schedule,,3911,,,,,,,fee schedule,,4103,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1145,6051,
90700 - DTAP VACCINE < 7 YRS IM,90700,CPT,,both,,,183,183,,13,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,13,76,
90707 - MMR VACCINE SC,90707,CPT,,both,,,497,497,,58,,,,,,,fee schedule,,133,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,131,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,115,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,105,,,,,,,fee schedule,,108,,,,,,,fee schedule,,236,,,,,,,fee schedule,,58,236,
90710 - MMRV VACCINE SC,90710,CPT,,both,,,921,921,,113,,,,,,,fee schedule,,337,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,196,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,172,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,161,,,,,,,fee schedule,,352,,,,,,,fee schedule,,35,363,
90713 - POLIOVIRUS IPV SC/IM,90713,CPT,,both,,,59,59,,42,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,180,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,159,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,149,,,,,,,fee schedule,,325,,,,,,,fee schedule,,30,325,
90714 - TD VACC NO PRESV 7 YRS+ IM,90714,CPT,,both,,,87,87,,6,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,84,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,6,151,
90715 - TDAP VACCINE 7 YRS/> IM,90715,CPT,,both,,,271,271,,22,,,,,,,fee schedule,,75,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,63,,,,,,,fee schedule,,59,,,,,,,fee schedule,,59,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,22,114,
90716 - VAR VACCINE LIVE SUBQ,90716,CPT,,both,,,2381,2381,,106,,,,,,,fee schedule,,220,,,,,,,fee schedule,,891,,,,,,,fee schedule,,891,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,854,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,576,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,525,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,564,,,,,,,fee schedule,,576,,,,,,,fee schedule,,604,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,752,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,683,,,,,,,fee schedule,,704,,,,,,,fee schedule,,1537,,,,,,,fee schedule,,106,1537,
90723 - DTAP-HEP B-IPV VACCINE IM,90723,CPT,,both,,,158,158,,96,,,,,,,fee schedule,,141,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,126,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,45,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,51,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,111,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,104,,,,,,,fee schedule,,227,,,,,,,fee schedule,,14,227,
90732 - PPSV23 VACC 2 YRS+ SUBQ/IM,90732,CPT,,both,,,424,424,,196,,,,,,,fee schedule,,166,,,,,,,fee schedule,,491,,,,,,,fee schedule,,491,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,134,,,,,,,fee schedule,,265,,,,,,,fee schedule,,265,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,289,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,333,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,2,491,
90734 - MENACWYD/MENACWYCRM VACC IM,90734,CPT,,both,,,1473,1473,,382,,,,,,,fee schedule,,211,,,,,,,fee schedule,,947,,,,,,,fee schedule,,947,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,559,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,558,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,600,,,,,,,fee schedule,,612,,,,,,,fee schedule,,642,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,492,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,447,,,,,,,fee schedule,,461,,,,,,,fee schedule,,1007,,,,,,,fee schedule,,56,1007,
90739 - HEPB VACC 2/4 DOSE ADULT IM,90739,CPT,,both,,,21202,21202,,15499,,,,,,,case rate,,18649,,,,,,,case rate,,15056,,,,,,,case rate,,15056,,,,,,,case rate,,21582,,,,,,,case rate,,21582,,,,,,,case rate,,16109,,,,,,,case rate,,10477,,,,,,,case rate,,  ,,,,,,,case rate,,14492,,,,,,,case rate,,14492,,,,,,,case rate,,14492,,,,,,,case rate,,14782,,,,,,,case rate,,14492,,,,,,,case rate,,14492,,,,,,,case rate,,14492,,,,,,,case rate,,13478,,,,,,,case rate,,14492,,,,,,,case rate,,14492,,,,,,,case rate,,14492,,,,,,,case rate,,14492,,,,,,,case rate,,14782,,,,,,,case rate,,15506,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10477,21582,
90744 - HEPB VACC 3 DOSE PED/ADOL IM,90744,CPT,,both,,,144,144,,13,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,13,76,
90746 - HEPB VACCINE 3 DOSE ADULT IM,90746,CPT,,both,,,429,429,,32,,,,,,,fee schedule,,108,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,82,,,,,,,fee schedule,,84,,,,,,,fee schedule,,84,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,30,147,
90750 - HZV VACC RECOMBINANT IM,90750,CPT,,both,,,564,564,,  ,,,,,,,fee schedule,,245,,,,,,,fee schedule,,121,,,,,,,fee schedule,,121,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,129,,,,,,,fee schedule,,129,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,78,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,71,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,78,,,,,,,fee schedule,,82,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,245,
90791 - PSYCH DIAGNOSTIC EVALUATION,90791,CPT,,both,,,317,317,,129,,,,,,,fee schedule,,224,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,224,
90792 - PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,,both,,,72,72,,  ,,,,,,,fee schedule,,253,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,253,253,
908 - Other O.R. procedures for injuries with CC,908,MS-DRG,,inpatient,,,3331,3331,,181,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,2102,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1239,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1332,,,,,,,fee schedule,,1359,,,,,,,fee schedule,,1426,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,181,2102,
90832 - PSYTX W PT 30 MINUTES,90832,CPT,,both,,,630,630,,311,,,,,,,fee schedule,,114,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,79,,,,,,,fee schedule,,79,,,,,,,fee schedule,,430,,,,,,,fee schedule,,185,,,,,,,fee schedule,,167,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,379,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,355,,,,,,,fee schedule,,775,,,,,,,fee schedule,,79,775,
90846 - FAMILY PSYTX W/O PT 50 MIN,90846,CPT,,both,,,1329,1329,,137,,,,,,,fee schedule,,182,,,,,,,fee schedule,,732,,,,,,,fee schedule,,732,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,367,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,473,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,431,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,464,,,,,,,fee schedule,,473,,,,,,,fee schedule,,496,,,,,,,fee schedule,,293,,,,,,,fee schedule,,293,,,,,,,fee schedule,,293,,,,,,,fee schedule,,293,,,,,,,fee schedule,,293,,,,,,,fee schedule,,293,,,,,,,fee schedule,,323,,,,,,,fee schedule,,293,,,,,,,fee schedule,,293,,,,,,,fee schedule,,293,,,,,,,fee schedule,,302,,,,,,,fee schedule,,660,,,,,,,fee schedule,,45,1121,
90847 - FAMILY PSYTX W/PT 50 MIN,90847,CPT,,both,,,289,289,,161,,,,,,,fee schedule,,184,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,187,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,68,336,
90887 - CONSULTATION WITH FAMILY,90887,CPT,,both,,,2245,2245,,371,,,,,,,fee schedule,,143,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,143,1032,
909 - Other O.R. procedures for injuries without CC/MCC,909,MS-DRG,,inpatient,,,,,,262,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,237,262,
90935 - HEMODIALYSIS ONE EVALUATION,90935,CPT,,both,,,127,127,,54,,,,,,,fee schedule,,82,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,30,1121,
90970 - ESRD SVC PR DAY PT 20+,90970,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
90989 - DIALYSIS TRAINING COMPLETE,90989,CPT,,both,,,856,856,,309,,,,,,,fee schedule,,617,,,,,,,fee schedule,,351,,,,,,,fee schedule,,351,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,201,,,,,,,fee schedule,,342,,,,,,,fee schedule,,342,,,,,,,fee schedule,,222,,,,,,,fee schedule,,222,,,,,,,fee schedule,,222,,,,,,,fee schedule,,227,,,,,,,fee schedule,,222,,,,,,,fee schedule,,222,,,,,,,fee schedule,,222,,,,,,,fee schedule,,207,,,,,,,fee schedule,,222,,,,,,,fee schedule,,222,,,,,,,fee schedule,,222,,,,,,,fee schedule,,222,,,,,,,fee schedule,,227,,,,,,,fee schedule,,238,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,176,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,165,,,,,,,fee schedule,,361,,,,,,,fee schedule,,1,617,
914 - Traumatic injury without MCC,914,MS-DRG,,inpatient,,,127,127,,66,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,66,72,
915 - Allergic reactions with MCC,915,MS-DRG,,inpatient,,,1125,1125,,228,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,228,901,
916 - Allergic reactions without MCC,916,MS-DRG,,inpatient,,,100,100,,4,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4,9,
917 - Poisoning and toxic effects of drugs with MCC,917,MS-DRG,,inpatient,,,895,895,,210,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,333,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,358,,,,,,,fee schedule,,365,,,,,,,fee schedule,,383,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,210,565,
918 - Poisoning and toxic effects of drugs without MCC,918,MS-DRG,,inpatient,,,,,,52,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,44,52,
919 - Complications of treatment with MCC,919,MS-DRG,,inpatient,,,2127,2127,,1137,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1034,1137,
920 - Complications of treatment with CC,920,MS-DRG,,inpatient,,,196,196,,22,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22,132,
92002 - EYE EXAM NEW PATIENT,92002,CPT,,both,,,16374,16374,,20125,,,,,,,case rate,,24215,,,,,,,case rate,,19550,,,,,,,case rate,,19550,,,,,,,case rate,,28024,,,,,,,case rate,,28024,,,,,,,case rate,,20917,,,,,,,case rate,,13604,,,,,,,case rate,,  ,,,,,,,case rate,,18411,,,,,,,case rate,,18411,,,,,,,case rate,,18411,,,,,,,case rate,,18779,,,,,,,case rate,,18411,,,,,,,case rate,,18411,,,,,,,case rate,,18411,,,,,,,case rate,,17122,,,,,,,case rate,,18411,,,,,,,case rate,,18411,,,,,,,case rate,,18411,,,,,,,case rate,,18411,,,,,,,case rate,,18779,,,,,,,case rate,,19700,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13604,28024,
92004 - EYE EXAM NEW PATIENT,92004,CPT,,both,,,18963,18963,,23733,,,,,,,case rate,,28557,,,,,,,case rate,,23055,,,,,,,case rate,,23055,,,,,,,case rate,,33048,,,,,,,case rate,,33048,,,,,,,case rate,,24667,,,,,,,case rate,,16043,,,,,,,case rate,,  ,,,,,,,case rate,,21468,,,,,,,case rate,,21468,,,,,,,case rate,,21468,,,,,,,case rate,,21897,,,,,,,case rate,,21468,,,,,,,case rate,,21468,,,,,,,case rate,,21468,,,,,,,case rate,,19965,,,,,,,case rate,,21468,,,,,,,case rate,,21468,,,,,,,case rate,,21468,,,,,,,case rate,,21468,,,,,,,case rate,,21897,,,,,,,case rate,,22971,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16043,33048,
92012 - EYE EXAM ESTABLISH PATIENT,92012,CPT,,both,,,23560,23560,,20039,,,,,,,case rate,,24111,,,,,,,case rate,,19466,,,,,,,case rate,,19466,,,,,,,case rate,,27903,,,,,,,case rate,,27903,,,,,,,case rate,,20827,,,,,,,case rate,,13545,,,,,,,case rate,,  ,,,,,,,case rate,,18338,,,,,,,case rate,,18338,,,,,,,case rate,,18338,,,,,,,case rate,,18705,,,,,,,case rate,,18338,,,,,,,case rate,,18338,,,,,,,case rate,,18338,,,,,,,case rate,,17054,,,,,,,case rate,,18338,,,,,,,case rate,,18338,,,,,,,case rate,,18338,,,,,,,case rate,,18338,,,,,,,case rate,,18705,,,,,,,case rate,,19622,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13545,27903,
92014 - EYE EXAM&TX ESTAB PT 1/>VST,92014,CPT,,both,,,803,803,,220,,,,,,,fee schedule,,150,,,,,,,fee schedule,,1176,,,,,,,fee schedule,,1176,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,134,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,760,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,693,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,745,,,,,,,fee schedule,,760,,,,,,,fee schedule,,797,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,23,1176,
92015 - DETERMINE REFRACTIVE STATE,92015,CPT,,both,,,147,147,,11,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
92018 - NEW EYE EXAM & TREATMENT,92018,CPT,,both,,,5073,5073,,124,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,3202,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2203,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,1887,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2029,,,,,,,fee schedule,,2070,,,,,,,fee schedule,,2171,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1939,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1763,,,,,,,fee schedule,,1815,,,,,,,fee schedule,,3966,,,,,,,fee schedule,,124,3966,
92020 - SPECIAL EYE EVALUATION,92020,CPT,,both,,,16823,16823,,16760,,,,,,,case rate,,20167,,,,,,,case rate,,16281,,,,,,,case rate,,16281,,,,,,,case rate,,23338,,,,,,,case rate,,23338,,,,,,,case rate,,17420,,,,,,,case rate,,11329,,,,,,,case rate,,  ,,,,,,,case rate,,15561,,,,,,,case rate,,15561,,,,,,,case rate,,15561,,,,,,,case rate,,15872,,,,,,,case rate,,15561,,,,,,,case rate,,15561,,,,,,,case rate,,15561,,,,,,,case rate,,14471,,,,,,,case rate,,15561,,,,,,,case rate,,15561,,,,,,,case rate,,15561,,,,,,,case rate,,15561,,,,,,,case rate,,15872,,,,,,,case rate,,16650,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11329,23338,
92025 - CORNEAL TOPOGRAPHY,92025,CPT,,both,,,17778,17778,,16990,,,,,,,case rate,,20443,,,,,,,case rate,,16504,,,,,,,case rate,,16504,,,,,,,case rate,,23658,,,,,,,case rate,,23658,,,,,,,case rate,,17658,,,,,,,case rate,,11484,,,,,,,case rate,,  ,,,,,,,case rate,,15755,,,,,,,case rate,,15755,,,,,,,case rate,,15755,,,,,,,case rate,,16070,,,,,,,case rate,,15755,,,,,,,case rate,,15755,,,,,,,case rate,,15755,,,,,,,case rate,,14652,,,,,,,case rate,,15755,,,,,,,case rate,,15755,,,,,,,case rate,,15755,,,,,,,case rate,,15755,,,,,,,case rate,,16070,,,,,,,case rate,,16858,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11484,23658,
92060 - SPECIAL EYE EVALUATION,92060,CPT,,both,,,219,219,,73,,,,,,,fee schedule,,72,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,187,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,72,336,
92071 - CONTACT LENS FITTING FOR TX,92071,CPT,,both,,,19183,19183,,17133,,,,,,,case rate,,20615,,,,,,,case rate,,16643,,,,,,,case rate,,16643,,,,,,,case rate,,23857,,,,,,,case rate,,23857,,,,,,,case rate,,17807,,,,,,,case rate,,11581,,,,,,,case rate,,  ,,,,,,,case rate,,15876,,,,,,,case rate,,15876,,,,,,,case rate,,15876,,,,,,,case rate,,16194,,,,,,,case rate,,15876,,,,,,,case rate,,15876,,,,,,,case rate,,15876,,,,,,,case rate,,14765,,,,,,,case rate,,15876,,,,,,,case rate,,15876,,,,,,,case rate,,15876,,,,,,,case rate,,15876,,,,,,,case rate,,16194,,,,,,,case rate,,16987,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11581,23857,
92082 - VISUAL FIELD EXAMINATION(S),92082,CPT,,both,,,62343,62343,,16855,,,,,,,case rate,,20280,,,,,,,case rate,,16373,,,,,,,case rate,,16373,,,,,,,case rate,,23470,,,,,,,case rate,,23470,,,,,,,case rate,,17518,,,,,,,case rate,,11393,,,,,,,case rate,,  ,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,15953,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,14546,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,15953,,,,,,,case rate,,16735,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11393,23470,
92083 - VISUAL FIELD EXAMINATION(S),92083,CPT,,both,,,85,85,,  ,,,,,,,fee schedule,,53,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1327,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1207,,,,,,,fee schedule,,1243,,,,,,,fee schedule,,2715,,,,,,,fee schedule,,53,2715,
921 - Complications of treatment without CC/MCC,921,MS-DRG,,inpatient,,,121,121,,6,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,6,12,
92100 - SERIAL TONOMETRY EXAM(S),92100,CPT,,both,,,187,187,,19,,,,,,,fee schedule,,66,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,23,,,,,,,fee schedule,,23,,,,,,,fee schedule,,63,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,19,114,
92132 - CMPTR OPHTH DX IMG ANT SEGMT,92132,CPT,,both,,,13159,13159,,17051,,,,,,,case rate,,20516,,,,,,,case rate,,16564,,,,,,,case rate,,16564,,,,,,,case rate,,23743,,,,,,,case rate,,23743,,,,,,,case rate,,17722,,,,,,,case rate,,11526,,,,,,,case rate,,  ,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,16123,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,14700,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,15807,,,,,,,case rate,,16123,,,,,,,case rate,,16913,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11526,23743,
92133 - CMPTR OPHTH IMG OPTIC NERVE,92133,CPT,,both,,,15819,15819,,16858,,,,,,,case rate,,20284,,,,,,,case rate,,16376,,,,,,,case rate,,16376,,,,,,,case rate,,23474,,,,,,,case rate,,23474,,,,,,,case rate,,17521,,,,,,,case rate,,11395,,,,,,,case rate,,  ,,,,,,,case rate,,15643,,,,,,,case rate,,15643,,,,,,,case rate,,15643,,,,,,,case rate,,15956,,,,,,,case rate,,15643,,,,,,,case rate,,15643,,,,,,,case rate,,15643,,,,,,,case rate,,14548,,,,,,,case rate,,15643,,,,,,,case rate,,15643,,,,,,,case rate,,15643,,,,,,,case rate,,15643,,,,,,,case rate,,15956,,,,,,,case rate,,16738,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11395,23474,
92134 - CPTR OPHTH DX IMG POST SEGMT,92134,CPT,,both,,,13577,13577,,16918,,,,,,,case rate,,20356,,,,,,,case rate,,16434,,,,,,,case rate,,16434,,,,,,,case rate,,23557,,,,,,,case rate,,23557,,,,,,,case rate,,17583,,,,,,,case rate,,11436,,,,,,,case rate,,  ,,,,,,,case rate,,15694,,,,,,,case rate,,15694,,,,,,,case rate,,15694,,,,,,,case rate,,16008,,,,,,,case rate,,15694,,,,,,,case rate,,15694,,,,,,,case rate,,15694,,,,,,,case rate,,14595,,,,,,,case rate,,15694,,,,,,,case rate,,15694,,,,,,,case rate,,15694,,,,,,,case rate,,15694,,,,,,,case rate,,16008,,,,,,,case rate,,16792,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11436,23557,
92136 - OPHTHALMIC BIOMETRY,92136,CPT,,both,,,15364,15364,,17290,,,,,,,case rate,,20804,,,,,,,case rate,,16796,,,,,,,case rate,,16796,,,,,,,case rate,,24076,,,,,,,case rate,,24076,,,,,,,case rate,,17970,,,,,,,case rate,,11687,,,,,,,case rate,,  ,,,,,,,case rate,,16009,,,,,,,case rate,,16009,,,,,,,case rate,,16009,,,,,,,case rate,,16329,,,,,,,case rate,,16009,,,,,,,case rate,,16009,,,,,,,case rate,,16009,,,,,,,case rate,,14888,,,,,,,case rate,,16009,,,,,,,case rate,,16009,,,,,,,case rate,,16009,,,,,,,case rate,,16009,,,,,,,case rate,,16329,,,,,,,case rate,,17130,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11687,24076,
"922 - Other injury, poisoning and toxic effect diagnoses with MCC",922,MS-DRG,,inpatient,,,433,433,,109,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,104,,,,,,,fee schedule,,104,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,104,841,
92201 - OPSCPY EXTND RTA DRAW UNI/BI,92201,CPT,,both,,,11293,11293,,12510,,,,,,,case rate,,15052,,,,,,,case rate,,12152,,,,,,,case rate,,12152,,,,,,,case rate,,17420,,,,,,,case rate,,17420,,,,,,,case rate,,13002,,,,,,,case rate,,8456,,,,,,,case rate,,  ,,,,,,,case rate,,11959,,,,,,,case rate,,11959,,,,,,,case rate,,11959,,,,,,,case rate,,12199,,,,,,,case rate,,11959,,,,,,,case rate,,11959,,,,,,,case rate,,11959,,,,,,,case rate,,11122,,,,,,,case rate,,11959,,,,,,,case rate,,11959,,,,,,,case rate,,11959,,,,,,,case rate,,11959,,,,,,,case rate,,12199,,,,,,,case rate,,12797,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8456,17420,
92202 - OPSCPY EXTND ON/MAC DRAW,92202,CPT,,both,,,26053,26053,,12364,,,,,,,case rate,,14876,,,,,,,case rate,,12010,,,,,,,case rate,,12010,,,,,,,case rate,,17216,,,,,,,case rate,,17216,,,,,,,case rate,,12850,,,,,,,case rate,,8357,,,,,,,case rate,,  ,,,,,,,case rate,,11836,,,,,,,case rate,,11836,,,,,,,case rate,,11836,,,,,,,case rate,,12072,,,,,,,case rate,,11836,,,,,,,case rate,,11836,,,,,,,case rate,,11836,,,,,,,case rate,,11007,,,,,,,case rate,,11836,,,,,,,case rate,,11836,,,,,,,case rate,,11836,,,,,,,case rate,,11836,,,,,,,case rate,,12072,,,,,,,case rate,,12664,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8357,17216,
92250 - EYE EXAM WITH PHOTOS,92250,CPT,,both,,,17027,17027,,17071,,,,,,,case rate,,20541,,,,,,,case rate,,16583,,,,,,,case rate,,16583,,,,,,,case rate,,23772,,,,,,,case rate,,23772,,,,,,,case rate,,17743,,,,,,,case rate,,11540,,,,,,,case rate,,  ,,,,,,,case rate,,15824,,,,,,,case rate,,15824,,,,,,,case rate,,15824,,,,,,,case rate,,16141,,,,,,,case rate,,15824,,,,,,,case rate,,15824,,,,,,,case rate,,15824,,,,,,,case rate,,14716,,,,,,,case rate,,15824,,,,,,,case rate,,15824,,,,,,,case rate,,15824,,,,,,,case rate,,15824,,,,,,,case rate,,16141,,,,,,,case rate,,16932,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11540,23772,
92283 - COLOR VISION EXAMINATION,92283,CPT,,both,,,14643,14643,,15056,,,,,,,case rate,,18116,,,,,,,case rate,,14626,,,,,,,case rate,,14626,,,,,,,case rate,,20965,,,,,,,case rate,,20965,,,,,,,case rate,,15648,,,,,,,case rate,,10177,,,,,,,case rate,,  ,,,,,,,case rate,,14117,,,,,,,case rate,,14117,,,,,,,case rate,,14117,,,,,,,case rate,,14399,,,,,,,case rate,,14117,,,,,,,case rate,,14117,,,,,,,case rate,,14117,,,,,,,case rate,,13129,,,,,,,case rate,,14117,,,,,,,case rate,,14117,,,,,,,case rate,,14117,,,,,,,case rate,,14117,,,,,,,case rate,,14399,,,,,,,case rate,,15105,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10177,20965,
92285 - EYE PHOTOGRAPHY,92285,CPT,,both,,,13193,13193,,17038,,,,,,,case rate,,20501,,,,,,,case rate,,16551,,,,,,,case rate,,16551,,,,,,,case rate,,23726,,,,,,,case rate,,23726,,,,,,,case rate,,17709,,,,,,,case rate,,11517,,,,,,,case rate,,  ,,,,,,,case rate,,15796,,,,,,,case rate,,15796,,,,,,,case rate,,15796,,,,,,,case rate,,16112,,,,,,,case rate,,15796,,,,,,,case rate,,15796,,,,,,,case rate,,15796,,,,,,,case rate,,14690,,,,,,,case rate,,15796,,,,,,,case rate,,15796,,,,,,,case rate,,15796,,,,,,,case rate,,15796,,,,,,,case rate,,16112,,,,,,,case rate,,16902,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11517,23726,
92286 - INTERNAL EYE PHOTOGRAPHY,92286,CPT,,both,,,487,487,,11,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
"923 - Other injury, poisoning and toxic effect diagnoses without MCC",923,MS-DRG,,inpatient,,,378,378,,21,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,21,132,
92502 - EAR AND THROAT EXAMINATION,92502,CPT,,both,,,15933,15933,,23146,,,,,,,case rate,,27850,,,,,,,case rate,,22484,,,,,,,case rate,,22484,,,,,,,case rate,,32230,,,,,,,case rate,,32230,,,,,,,case rate,,24056,,,,,,,case rate,,15646,,,,,,,case rate,,  ,,,,,,,case rate,,20970,,,,,,,case rate,,20970,,,,,,,case rate,,20970,,,,,,,case rate,,21390,,,,,,,case rate,,20970,,,,,,,case rate,,20970,,,,,,,case rate,,20970,,,,,,,case rate,,19502,,,,,,,case rate,,20970,,,,,,,case rate,,20970,,,,,,,case rate,,20970,,,,,,,case rate,,20970,,,,,,,case rate,,21390,,,,,,,case rate,,22438,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15646,32230,
92504 - EAR MICROSCOPY EXAMINATION,92504,CPT,,both,,,410,410,,25,,,,,,,fee schedule,,19,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,19,162,
92511 - NASOPHARYNGOSCOPY,92511,CPT,,both,,,549,549,,34,,,,,,,fee schedule,,2910,,,,,,,fee schedule,,271,,,,,,,fee schedule,,271,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,505,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,175,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,160,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,172,,,,,,,fee schedule,,175,,,,,,,fee schedule,,184,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,444,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,404,,,,,,,fee schedule,,416,,,,,,,fee schedule,,908,,,,,,,fee schedule,,34,2910,
92526 - ORAL FUNCTION THERAPY,92526,CPT,,both,,,14067,14067,,12675,,,,,,,case rate,,15251,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,17649,,,,,,,case rate,,17649,,,,,,,case rate,,13173,,,,,,,case rate,,8568,,,,,,,case rate,,  ,,,,,,,case rate,,12099,,,,,,,case rate,,12099,,,,,,,case rate,,12099,,,,,,,case rate,,12341,,,,,,,case rate,,12099,,,,,,,case rate,,12099,,,,,,,case rate,,12099,,,,,,,case rate,,11252,,,,,,,case rate,,12099,,,,,,,case rate,,12099,,,,,,,case rate,,12099,,,,,,,case rate,,12099,,,,,,,case rate,,12341,,,,,,,case rate,,12946,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8568,17649,
92537 - CALORIC VSTBLR TEST W/REC,92537,CPT,,both,,,69,69,,25,,,,,,,fee schedule,,59,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,24,160,
92538 - CALORIC VSTBLR TEST W/REC,92538,CPT,,both,,,104,104,,9,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
92540 - BASIC VESTIBULAR EVALUATION,92540,CPT,,both,,,1958,1958,,444,,,,,,,fee schedule,,150,,,,,,,fee schedule,,764,,,,,,,fee schedule,,764,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,543,,,,,,,fee schedule,,543,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,450,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,518,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,86,819,
92541 - SPONTANEOUS NYSTAGMUS TEST,92541,CPT,,both,,,557,557,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,42,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,12,76,
92542 - POSITIONAL NYSTAGMUS TEST,92542,CPT,,both,,,353,353,,18,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18,49,
92544 - OPTOKINETIC NYSTAGMUS TEST,92544,CPT,,both,,,63,63,,6,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,6,76,
92545 - OSCILLATING TRACKING TEST,92545,CPT,,both,,,27,27,,5,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,5,76,
92550 - TYMPANOMETRY & REFLEX THRESH,92550,CPT,,both,,,190,190,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,42,42,
92551 - PURE TONE HEARING TEST AIR,92551,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
92552 - PURE TONE AUDIOMETRY AIR,92552,CPT,,both,,,203,203,,19,,,,,,,fee schedule,,66,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,82,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,19,147,
92553 - AUDIOMETRY AIR & BONE,92553,CPT,,both,,,965,965,,95,,,,,,,fee schedule,,79,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,63,,,,,,,fee schedule,,63,,,,,,,fee schedule,,828,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,63,1491,
92555 - SPEECH THRESHOLD AUDIOMETRY,92555,CPT,,both,,,501,501,,15,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
92556 - SPEECH AUDIOMETRY COMPLETE,92556,CPT,,both,,,471,471,,69,,,,,,,fee schedule,,78,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,49,,,,,,,fee schedule,,49,,,,,,,fee schedule,,187,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,49,336,
92557 - COMPREHENSIVE HEARING TEST,92557,CPT,,both,,,254,254,,4,,,,,,,fee schedule,,64,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,42,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
92558 - EVOKED AUDITORY TEST QUAL,92558,CPT,,both,,,58062,58062,,16275,,,,,,,case rate,,19583,,,,,,,case rate,,15810,,,,,,,case rate,,15810,,,,,,,case rate,,22663,,,,,,,case rate,,22663,,,,,,,case rate,,16915,,,,,,,case rate,,11001,,,,,,,case rate,,  ,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15452,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,14089,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15452,,,,,,,case rate,,16210,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11001,22663,
92563 - TONE DECAY HEARING TEST,92563,CPT,,both,,,728,728,,66,,,,,,,fee schedule,,64,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,187,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,64,336,
92565 - STENGER TEST PURE TONE,92565,CPT,,both,,,105,105,,10,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
92567 - TYMPANOMETRY,92567,CPT,,both,,,216,216,,24,,,,,,,fee schedule,,21,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,1,132,
92579 - VISUAL AUDIOMETRY (VRA),92579,CPT,,both,,,152,152,,56,,,,,,,fee schedule,,74,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,141,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,21,253,
92582 - CONDITIONING PLAY AUDIOMETRY,92582,CPT,,both,,,196,196,,  ,,,,,,,fee schedule,,140,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,79,,,,,,,fee schedule,,79,,,,,,,fee schedule,,156,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,138,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,129,,,,,,,fee schedule,,281,,,,,,,fee schedule,,1,281,
92587 - EVOKED AUDITORY TEST LIMITED,92587,CPT,,both,,,378,378,,22,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,81,,,,,,,fee schedule,,58,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,22,145,
92588 - EVOKED AUDITORY TST COMPLETE,92588,CPT,,both,,,391,391,,74,,,,,,,fee schedule,,55,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,272,,,,,,,fee schedule,,272,,,,,,,fee schedule,,212,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,119,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,128,,,,,,,fee schedule,,131,,,,,,,fee schedule,,137,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,55,381,
92590 - HEARING AID EXAM ONE EAR,92590,CPT,,both,,,10692,10692,,11156,,,,,,,case rate,,13423,,,,,,,case rate,,10837,,,,,,,case rate,,10837,,,,,,,case rate,,15534,,,,,,,case rate,,15534,,,,,,,case rate,,11595,,,,,,,case rate,,7541,,,,,,,case rate,,  ,,,,,,,case rate,,10812,,,,,,,case rate,,10812,,,,,,,case rate,,10812,,,,,,,case rate,,11029,,,,,,,case rate,,10812,,,,,,,case rate,,10812,,,,,,,case rate,,10812,,,,,,,case rate,,10055,,,,,,,case rate,,10812,,,,,,,case rate,,10812,,,,,,,case rate,,10812,,,,,,,case rate,,10812,,,,,,,case rate,,11029,,,,,,,case rate,,11569,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7541,15534,
92591 - HEARING AID EXAM BOTH EARS,92591,CPT,,both,,,555,555,,49,,,,,,,fee schedule,,141,,,,,,,fee schedule,,491,,,,,,,fee schedule,,491,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,134,,,,,,,fee schedule,,265,,,,,,,fee schedule,,265,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,289,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,311,,,,,,,fee schedule,,317,,,,,,,fee schedule,,333,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,49,491,
92592 - HEARING AID CHECK ONE EAR,92592,CPT,,both,,,50,50,,29,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,68,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,123,
92593 - HEARING AID CHECK BOTH EARS,92593,CPT,,both,,,794,794,,88,,,,,,,fee schedule,,72,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,828,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,55,1491,
92602 - REPROGRAM COCHLEAR IMPLT <7,92602,CPT,,both,,,404,404,,37,,,,,,,fee schedule,,134,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,134,
92603 - COCHLEAR IMPLT F/UP EXAM 7/>,92603,CPT,,both,,,1044,1044,,84,,,,,,,fee schedule,,222,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,84,798,
92604 - REPROGRAM COCHLEAR IMPLT 7/>,92604,CPT,,both,,,527,527,,60,,,,,,,fee schedule,,126,,,,,,,fee schedule,,238,,,,,,,fee schedule,,238,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,134,,,,,,,fee schedule,,265,,,,,,,fee schedule,,265,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,140,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,151,,,,,,,fee schedule,,154,,,,,,,fee schedule,,161,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,118,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,107,,,,,,,fee schedule,,110,,,,,,,fee schedule,,241,,,,,,,fee schedule,,30,265,
92610 - EVALUATE SWALLOWING FUNCTION,92610,CPT,,both,,,18747,18747,,11729,,,,,,,case rate,,14113,,,,,,,case rate,,11394,,,,,,,case rate,,11394,,,,,,,case rate,,16333,,,,,,,case rate,,16333,,,,,,,case rate,,12191,,,,,,,case rate,,7928,,,,,,,case rate,,  ,,,,,,,case rate,,11298,,,,,,,case rate,,11298,,,,,,,case rate,,11298,,,,,,,case rate,,11524,,,,,,,case rate,,11298,,,,,,,case rate,,11298,,,,,,,case rate,,11298,,,,,,,case rate,,10507,,,,,,,case rate,,11298,,,,,,,case rate,,11298,,,,,,,case rate,,11298,,,,,,,case rate,,11298,,,,,,,case rate,,11524,,,,,,,case rate,,12089,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7928,16333,
92650 - AEP SCR AUDITORY POTENTIAL,92650,CPT,,both,,,11627,11627,,9513,,,,,,,case rate,,11446,,,,,,,case rate,,9241,,,,,,,case rate,,9241,,,,,,,case rate,,13246,,,,,,,case rate,,13246,,,,,,,case rate,,9887,,,,,,,case rate,,6430,,,,,,,case rate,,  ,,,,,,,case rate,,9420,,,,,,,case rate,,9420,,,,,,,case rate,,9420,,,,,,,case rate,,9609,,,,,,,case rate,,9420,,,,,,,case rate,,9420,,,,,,,case rate,,9420,,,,,,,case rate,,8761,,,,,,,case rate,,9420,,,,,,,case rate,,9420,,,,,,,case rate,,9420,,,,,,,case rate,,9420,,,,,,,case rate,,9609,,,,,,,case rate,,10080,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6430,13246,
92651 - AEP HEARING STATUS DETER I&R,92651,CPT,,both,,,20761,20761,,16239,,,,,,,case rate,,19539,,,,,,,case rate,,15775,,,,,,,case rate,,15775,,,,,,,case rate,,22612,,,,,,,case rate,,22612,,,,,,,case rate,,16878,,,,,,,case rate,,10977,,,,,,,case rate,,  ,,,,,,,case rate,,15119,,,,,,,case rate,,15119,,,,,,,case rate,,15119,,,,,,,case rate,,15421,,,,,,,case rate,,15119,,,,,,,case rate,,15119,,,,,,,case rate,,15119,,,,,,,case rate,,14061,,,,,,,case rate,,15119,,,,,,,case rate,,15119,,,,,,,case rate,,15119,,,,,,,case rate,,15119,,,,,,,case rate,,15421,,,,,,,case rate,,16177,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10977,22612,
92920 - PRQ CARDIAC ANGIOPLAST 1 ART,92920,CPT,,both,,,12514,12514,,510,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,4655,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5356,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,510,7898,
92924 - PRQ CARD ANGIO/ATHRECT 1 ART,92924,CPT,,both,,,25470,25470,,606,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,606,16075,
92928 - PRQ CARD STENT W/ANGIO 1 VSL,92928,CPT,,both,,,25470,25470,,567,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,567,16075,
92950 - HEART/LUNG RESUSCITATION CPR,92950,CPT,,both,,,418,418,,96,,,,,,,fee schedule,,325,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,103,,,,,,,fee schedule,,252,,,,,,,fee schedule,,252,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,91,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,186,,,,,,,fee schedule,,83,325,
92960 - CARDIOVERSION ELECTRIC EXT,92960,CPT,,both,,,1207,1207,,650,,,,,,,fee schedule,,208,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,577,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,508,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,462,,,,,,,fee schedule,,475,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,134,1121,
92961 - CARDIOVERSION ELECTRIC INT,92961,CPT,,both,,,35873,35873,,24613,,,,,,,case rate,,29615,,,,,,,case rate,,23909,,,,,,,case rate,,23909,,,,,,,case rate,,34273,,,,,,,case rate,,34273,,,,,,,case rate,,25581,,,,,,,case rate,,16637,,,,,,,case rate,,  ,,,,,,,case rate,,22213,,,,,,,case rate,,22213,,,,,,,case rate,,22213,,,,,,,case rate,,22658,,,,,,,case rate,,22213,,,,,,,case rate,,22213,,,,,,,case rate,,22213,,,,,,,case rate,,20658,,,,,,,case rate,,22213,,,,,,,case rate,,22213,,,,,,,case rate,,22213,,,,,,,case rate,,22213,,,,,,,case rate,,22658,,,,,,,case rate,,23768,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16637,34273,
92978 - ENDOLUMINL IVUS OCT C 1ST,92978,CPT,,both,,,9914,9914,,17296,,,,,,,case rate,,20811,,,,,,,case rate,,16802,,,,,,,case rate,,16802,,,,,,,case rate,,24084,,,,,,,case rate,,24084,,,,,,,case rate,,17977,,,,,,,case rate,,11692,,,,,,,case rate,,  ,,,,,,,case rate,,16014,,,,,,,case rate,,16014,,,,,,,case rate,,16014,,,,,,,case rate,,16335,,,,,,,case rate,,16014,,,,,,,case rate,,16014,,,,,,,case rate,,16014,,,,,,,case rate,,14893,,,,,,,case rate,,16014,,,,,,,case rate,,16014,,,,,,,case rate,,16014,,,,,,,case rate,,16014,,,,,,,case rate,,16335,,,,,,,case rate,,17135,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11692,24084,
93005 - ELECTROCARDIOGRAM TRACING,93005,CPT,,both,,,14583,14583,,15887,,,,,,,case rate,,19116,,,,,,,case rate,,15433,,,,,,,case rate,,15433,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,16512,,,,,,,case rate,,10739,,,,,,,case rate,,  ,,,,,,,case rate,,14821,,,,,,,case rate,,14821,,,,,,,case rate,,14821,,,,,,,case rate,,15117,,,,,,,case rate,,14821,,,,,,,case rate,,14821,,,,,,,case rate,,14821,,,,,,,case rate,,13783,,,,,,,case rate,,14821,,,,,,,case rate,,14821,,,,,,,case rate,,14821,,,,,,,case rate,,14821,,,,,,,case rate,,15117,,,,,,,case rate,,15858,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10739,22122,
93017 - CARDIOVASCULAR STRESS TEST,93017,CPT,,both,,,28721,28721,,24759,,,,,,,case rate,,29791,,,,,,,case rate,,24051,,,,,,,case rate,,24051,,,,,,,case rate,,34476,,,,,,,case rate,,34476,,,,,,,case rate,,25733,,,,,,,case rate,,16736,,,,,,,case rate,,  ,,,,,,,case rate,,22337,,,,,,,case rate,,22337,,,,,,,case rate,,22337,,,,,,,case rate,,22784,,,,,,,case rate,,22337,,,,,,,case rate,,22337,,,,,,,case rate,,22337,,,,,,,case rate,,20774,,,,,,,case rate,,22337,,,,,,,case rate,,22337,,,,,,,case rate,,22337,,,,,,,case rate,,22337,,,,,,,case rate,,22784,,,,,,,case rate,,23901,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16736,34476,
93261 - INTERROGATE SUBQ DEFIB,93261,CPT,,both,,,477,477,,83,,,,,,,fee schedule,,72,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,212,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,69,381,
93264 - REM MNTR WRLS P-ART PRS SNR,93264,CPT,,both,,,11954,11954,,11695,,,,,,,case rate,,14071,,,,,,,case rate,,11360,,,,,,,case rate,,11360,,,,,,,case rate,,16284,,,,,,,case rate,,16284,,,,,,,case rate,,12155,,,,,,,case rate,,7905,,,,,,,case rate,,  ,,,,,,,case rate,,11269,,,,,,,case rate,,11269,,,,,,,case rate,,11269,,,,,,,case rate,,11494,,,,,,,case rate,,11269,,,,,,,case rate,,11269,,,,,,,case rate,,11269,,,,,,,case rate,,10480,,,,,,,case rate,,11269,,,,,,,case rate,,11269,,,,,,,case rate,,11269,,,,,,,case rate,,11269,,,,,,,case rate,,11494,,,,,,,case rate,,12058,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7905,16284,
93279 - PRGRMG DEV EVAL PM/LDLS PM,93279,CPT,,both,,,85,85,,35,,,,,,,fee schedule,,61,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,123,
93280 - PM DEVICE PROGR EVAL DUAL,93280,CPT,,both,,,40,40,,31,,,,,,,fee schedule,,74,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,30,168,
93281 - PM DEVICE PROGR EVAL MULTI,93281,CPT,,both,,,178,178,,104,,,,,,,fee schedule,,80,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,180,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,159,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,144,,,,,,,fee schedule,,149,,,,,,,fee schedule,,325,,,,,,,fee schedule,,80,325,
93282 - PRGRMG EVAL IMPLANTABLE DFB,93282,CPT,,both,,,322,322,,34,,,,,,,fee schedule,,80,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,34,222,
93283 - PRGRMG EVAL IMPLANTABLE DFB,93283,CPT,,both,,,8363,8363,,116,,,,,,,fee schedule,,109,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1186,,,,,,,fee schedule,,7667,,,,,,,fee schedule,,7667,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,1044,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,949,,,,,,,fee schedule,,977,,,,,,,fee schedule,,2135,,,,,,,fee schedule,,109,7783,
93284 - PRGRMG EVAL IMPLANTABLE DFB,93284,CPT,,both,,,290,290,,86,,,,,,,fee schedule,,118,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,169,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,149,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,140,,,,,,,fee schedule,,305,,,,,,,fee schedule,,55,305,
93285 - PRGRMG DEV EVAL SCRMS IP,93285,CPT,,both,,,11773,11773,,11542,,,,,,,case rate,,13888,,,,,,,case rate,,11212,,,,,,,case rate,,11212,,,,,,,case rate,,16072,,,,,,,case rate,,16072,,,,,,,case rate,,11996,,,,,,,case rate,,7802,,,,,,,case rate,,  ,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11362,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,10360,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11362,,,,,,,case rate,,11919,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7802,16072,
93288 - INTERROG EVL PM/LDLS PM IP,93288,CPT,,both,,,100,100,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,80,,,,,,,fee schedule,,80,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,47,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,54,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,40,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,6,83,
93289 - INTERROG DEVICE EVAL HEART,93289,CPT,,both,,,50,50,,21,,,,,,,fee schedule,,71,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,63,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,21,114,
93290 - INTERROG DEV EVAL ICPMS IP,93290,CPT,,both,,,199,199,,32,,,,,,,fee schedule,,42,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,24,1121,
93291 - INTERROG DEV EVAL SCRMS IP,93291,CPT,,both,,,231,231,,13,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,42,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,8,76,
93293 - PM PHONE R-STRIP DEVICE EVAL,93293,CPT,,both,,,22647,22647,,11588,,,,,,,case rate,,13943,,,,,,,case rate,,11257,,,,,,,case rate,,11257,,,,,,,case rate,,16136,,,,,,,case rate,,16136,,,,,,,case rate,,12044,,,,,,,case rate,,7833,,,,,,,case rate,,  ,,,,,,,case rate,,11178,,,,,,,case rate,,11178,,,,,,,case rate,,11178,,,,,,,case rate,,11402,,,,,,,case rate,,11178,,,,,,,case rate,,11178,,,,,,,case rate,,11178,,,,,,,case rate,,10396,,,,,,,case rate,,11178,,,,,,,case rate,,11178,,,,,,,case rate,,11178,,,,,,,case rate,,11178,,,,,,,case rate,,11402,,,,,,,case rate,,11961,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7833,16136,
93296 - REM INTERROG EVL PM/IDS,93296,CPT,,both,,,217,217,,16,,,,,,,fee schedule,,55,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,42,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,13,76,
93303 - ECHO TRANSTHORACIC,93303,CPT,,both,,,303,303,,35,,,,,,,fee schedule,,119,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,81,,,,,,,fee schedule,,92,,,,,,,fee schedule,,92,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,13,145,
93306 - TTE W/DOPPLER COMPLETE,93306,CPT,,both,,,1154,1154,,213,,,,,,,fee schedule,,137,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,95,,,,,,,fee schedule,,95,,,,,,,fee schedule,,433,,,,,,,fee schedule,,715,,,,,,,fee schedule,,643,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,381,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,357,,,,,,,fee schedule,,779,,,,,,,fee schedule,,88,1081,
93307 - TTE W/O DOPPLER COMPLETE,93307,CPT,,both,,,19046,19046,,20160,,,,,,,case rate,,24257,,,,,,,case rate,,19583,,,,,,,case rate,,19583,,,,,,,case rate,,28072,,,,,,,case rate,,28072,,,,,,,case rate,,20953,,,,,,,case rate,,13627,,,,,,,case rate,,  ,,,,,,,case rate,,18441,,,,,,,case rate,,18441,,,,,,,case rate,,18441,,,,,,,case rate,,18809,,,,,,,case rate,,18441,,,,,,,case rate,,18441,,,,,,,case rate,,18441,,,,,,,case rate,,17150,,,,,,,case rate,,18441,,,,,,,case rate,,18441,,,,,,,case rate,,18441,,,,,,,case rate,,18441,,,,,,,case rate,,18809,,,,,,,case rate,,19731,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13627,28072,
93308 - TTE F-UP OR LMTD,93308,CPT,,both,,,79,79,,13,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,41,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,13,74,
93312 - ECHO TRANSESOPHAGEAL,93312,CPT,,both,,,918,918,,142,,,,,,,fee schedule,,196,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,70,,,,,,,fee schedule,,70,,,,,,,fee schedule,,187,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,70,354,
93314 - ECHO TRANSESOPHAGEAL,93314,CPT,,both,,,695,695,,376,,,,,,,fee schedule,,171,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,93,,,,,,,fee schedule,,93,,,,,,,fee schedule,,430,,,,,,,fee schedule,,185,,,,,,,fee schedule,,167,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,379,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,344,,,,,,,fee schedule,,355,,,,,,,fee schedule,,775,,,,,,,fee schedule,,93,775,
93318 - ECHO TRANSESOPHAGEAL INTRAOP,93318,CPT,,both,,,381,381,,128,,,,,,,fee schedule,,192,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,169,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,149,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,135,,,,,,,fee schedule,,140,,,,,,,fee schedule,,305,,,,,,,fee schedule,,75,305,
93320 - DOPPLER ECHO EXAM HEART,93320,CPT,,both,,,98,98,,10,,,,,,,fee schedule,,35,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,42,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,9,76,
93325 - DOPPLER COLOR FLOW ADD-ON,93325,CPT,,both,,,3,3,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,5,
93350 - STRESS TTE ONLY,93350,CPT,,both,,,1882,1882,,371,,,,,,,fee schedule,,134,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,117,,,,,,,fee schedule,,117,,,,,,,fee schedule,,573,,,,,,,fee schedule,,412,,,,,,,fee schedule,,412,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,505,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,459,,,,,,,fee schedule,,472,,,,,,,fee schedule,,1032,,,,,,,fee schedule,,117,1032,
93351 - STRESS TTE COMPLETE,93351,CPT,,both,,,22506,22506,,23430,,,,,,,case rate,,28192,,,,,,,case rate,,22760,,,,,,,case rate,,22760,,,,,,,case rate,,32626,,,,,,,case rate,,32626,,,,,,,case rate,,24352,,,,,,,case rate,,15838,,,,,,,case rate,,  ,,,,,,,case rate,,21211,,,,,,,case rate,,21211,,,,,,,case rate,,21211,,,,,,,case rate,,21636,,,,,,,case rate,,21211,,,,,,,case rate,,21211,,,,,,,case rate,,21211,,,,,,,case rate,,19726,,,,,,,case rate,,21211,,,,,,,case rate,,21211,,,,,,,case rate,,21211,,,,,,,case rate,,21211,,,,,,,case rate,,21636,,,,,,,case rate,,22696,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15838,32626,
93355 - ECHO TRANSESOPHAGEAL (TEE),93355,CPT,,both,,,511,511,,259,,,,,,,fee schedule,,390,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,112,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,390,
93451 - RIGHT HEART CATH,93451,CPT,,both,,,6283,6283,,706,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,2280,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2689,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1879,,,,,,,fee schedule,,4104,,,,,,,fee schedule,,706,5292,
93454 - CORONARY ARTERY ANGIO S&I,93454,CPT,,both,,,6283,6283,,809,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,2280,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2689,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1879,,,,,,,fee schedule,,4104,,,,,,,fee schedule,,773,5292,
93456 - R HRT CORONARY ARTERY ANGIO,93456,CPT,,both,,,6283,6283,,1013,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,2280,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2689,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1879,,,,,,,fee schedule,,4104,,,,,,,fee schedule,,958,5292,
93458 - L HRT ARTERY/VENTRICLE ANGIO,93458,CPT,,both,,,6283,6283,,971,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,2280,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2689,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1879,,,,,,,fee schedule,,4104,,,,,,,fee schedule,,928,5292,
93459 - L HRT ART/GRFT ANGIO,93459,CPT,,both,,,6283,6283,,1072,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,2280,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2689,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1879,,,,,,,fee schedule,,4104,,,,,,,fee schedule,,1016,5292,
93460 - R&L HRT ART/VENTRICLE ANGIO,93460,CPT,,both,,,6283,6283,,1150,,,,,,,fee schedule,,3535,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,3965,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,2280,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2337,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2513,,,,,,,fee schedule,,2563,,,,,,,fee schedule,,2689,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,2006,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1824,,,,,,,fee schedule,,1879,,,,,,,fee schedule,,4104,,,,,,,fee schedule,,1068,5292,
93571 - HEART FLOW RESERVE MEASURE,93571,CPT,,both,,,12514,12514,,371,,,,,,,fee schedule,,6850,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3369,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,4655,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5356,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2965,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2695,,,,,,,fee schedule,,2776,,,,,,,fee schedule,,6064,,,,,,,fee schedule,,371,7898,
93603 - RIGHT VENTRICULAR RECORDING,93603,CPT,,both,,,23540,23540,,26793,,,,,,,case rate,,32238,,,,,,,case rate,,26027,,,,,,,case rate,,26027,,,,,,,case rate,,37309,,,,,,,case rate,,37309,,,,,,,case rate,,27847,,,,,,,case rate,,18111,,,,,,,case rate,,  ,,,,,,,case rate,,24061,,,,,,,case rate,,24061,,,,,,,case rate,,24061,,,,,,,case rate,,24542,,,,,,,case rate,,24061,,,,,,,case rate,,24061,,,,,,,case rate,,24061,,,,,,,case rate,,22376,,,,,,,case rate,,24061,,,,,,,case rate,,24061,,,,,,,case rate,,24061,,,,,,,case rate,,24061,,,,,,,case rate,,24542,,,,,,,case rate,,25745,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18111,37309,
93609 - MAP TACHYCARDIA ADD-ON,93609,CPT,,both,,,,,,357,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1374,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1132,,,,,,,fee schedule,,2474,,,,,,,fee schedule,,135,2474,
93613 - ELECTROPHYS MAP 3D ADD-ON,93613,CPT,,both,,,,,,371,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1374,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1132,,,,,,,fee schedule,,2474,,,,,,,fee schedule,,371,2474,
93620 - ELECTROPHYSIOLOGY EVALUATION,93620,CPT,,both,,,16155,16155,,792,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,10195,,,,,,,fee schedule,,10195,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1374,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6591,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6009,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6591,,,,,,,fee schedule,,6914,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1209,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1099,,,,,,,fee schedule,,1132,,,,,,,fee schedule,,2474,,,,,,,fee schedule,,564,10195,
93631 - HEART PACING MAPPING,93631,CPT,,both,,,19498,19498,,21229,,,,,,,case rate,,25544,,,,,,,case rate,,20623,,,,,,,case rate,,20623,,,,,,,case rate,,29561,,,,,,,case rate,,29561,,,,,,,case rate,,22065,,,,,,,case rate,,14350,,,,,,,case rate,,  ,,,,,,,case rate,,19347,,,,,,,case rate,,19347,,,,,,,case rate,,19347,,,,,,,case rate,,19734,,,,,,,case rate,,19347,,,,,,,case rate,,19347,,,,,,,case rate,,19347,,,,,,,case rate,,17993,,,,,,,case rate,,19347,,,,,,,case rate,,19347,,,,,,,case rate,,19347,,,,,,,case rate,,19347,,,,,,,case rate,,19734,,,,,,,case rate,,20701,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14350,29561,
93641 - ELECTROPHYSIOLOGY EVALUATION,93641,CPT,,both,,,,,,574,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,205,1965,
93642 - ELECTROPHYSIOLOGY EVALUATION,93642,CPT,,both,,,4067,4067,,387,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,1692,,,,,,,fee schedule,,1692,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1094,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,997,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1072,,,,,,,fee schedule,,1094,,,,,,,fee schedule,,1147,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,205,1965,
93650 - ABLATE HEART DYSRHYTHM FOCUS,93650,CPT,,both,,,16155,16155,,563,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,10195,,,,,,,fee schedule,,10195,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1181,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6591,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6009,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6462,,,,,,,fee schedule,,6591,,,,,,,fee schedule,,6914,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,973,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,563,10195,
93653 - COMPRE EP EVAL TX SVT,93653,CPT,,both,,,56341,56341,,792,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,35558,,,,,,,fee schedule,,35558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1181,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22987,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,20959,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22987,,,,,,,fee schedule,,24114,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,973,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,792,35558,
93654 - COMPRE EP EVAL TX VT,93654,CPT,,both,,,56341,56341,,1055,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,35558,,,,,,,fee schedule,,35558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1181,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22987,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,20959,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22987,,,,,,,fee schedule,,24114,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,973,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,945,35558,
93655 - ABLATE ARRHYTHMIA ADD ON,93655,CPT,,both,,,,,,396,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1181,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,396,1965,
93656 - COMPRE EP EVAL ABLTJ ATR FIB,93656,CPT,,both,,,56341,56341,,1055,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,35558,,,,,,,fee schedule,,35558,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1181,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22987,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,20959,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22536,,,,,,,fee schedule,,22987,,,,,,,fee schedule,,24114,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,1039,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,945,,,,,,,fee schedule,,973,,,,,,,fee schedule,,2126,,,,,,,fee schedule,,945,35558,
93660 - TILT TABLE EVALUATION,93660,CPT,,both,,,3,3,,  ,,,,,,,fee schedule,,168,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,168,
93880 - EXTRACRANIAL BILAT STUDY,93880,CPT,,both,,,675,675,,146,,,,,,,fee schedule,,78,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,828,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,56,1491,
93886 - INTRACRANIAL COMPLETE STUDY,93886,CPT,,both,,,92,92,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,26,147,
93922 - UPR/L XTREMITY ART 2 LEVELS,93922,CPT,,both,,,391,391,,54,,,,,,,fee schedule,,25,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,120,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,105,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,96,,,,,,,fee schedule,,99,,,,,,,fee schedule,,215,,,,,,,fee schedule,,19,424,
93923 - UPR/LXTR ART STDY 3+ LVLS,93923,CPT,,both,,,82,82,,9,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,66,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,58,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,54,,,,,,,fee schedule,,118,,,,,,,fee schedule,,9,118,
93925 - LOWER EXTREMITY STUDY,93925,CPT,,both,,,113,113,,36,,,,,,,fee schedule,,76,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,123,
93926 - LOWER EXTREMITY STUDY,93926,CPT,,both,,,135,135,,14,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
93930 - UPPER EXTREMITY STUDY,93930,CPT,,both,,,901,901,,171,,,,,,,fee schedule,,80,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,212,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,80,381,
93931 - UPPER EXTREMITY STUDY,93931,CPT,,both,,,88,88,,6,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,41,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,3,74,
93970 - EXTREMITY STUDY,93970,CPT,,both,,,44,44,,20,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,63,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,20,114,
93971 - EXTREMITY STUDY,93971,CPT,,both,,,151,151,,19,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19,168,
93975 - VASCULAR STUDY,93975,CPT,,both,,,479,479,,324,,,,,,,fee schedule,,114,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,250,,,,,,,fee schedule,,185,,,,,,,fee schedule,,167,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,220,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,206,,,,,,,fee schedule,,450,,,,,,,fee schedule,,41,450,
93976 - VASCULAR STUDY,93976,CPT,,both,,,420,420,,46,,,,,,,fee schedule,,75,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,126,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,45,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,51,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,111,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,104,,,,,,,fee schedule,,227,,,,,,,fee schedule,,16,227,
93978 - VASCULAR STUDY,93978,CPT,,both,,,977,977,,212,,,,,,,fee schedule,,80,,,,,,,fee schedule,,764,,,,,,,fee schedule,,764,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,455,,,,,,,fee schedule,,543,,,,,,,fee schedule,,543,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,450,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,518,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,400,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,364,,,,,,,fee schedule,,375,,,,,,,fee schedule,,819,,,,,,,fee schedule,,80,819,
94002 - VENT MGMT INPAT INIT DAY,94002,CPT,,both,,,787,787,,88,,,,,,,fee schedule,,171,,,,,,,fee schedule,,378,,,,,,,fee schedule,,378,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,514,,,,,,,fee schedule,,399,,,,,,,fee schedule,,399,,,,,,,fee schedule,,240,,,,,,,fee schedule,,240,,,,,,,fee schedule,,240,,,,,,,fee schedule,,244,,,,,,,fee schedule,,240,,,,,,,fee schedule,,240,,,,,,,fee schedule,,240,,,,,,,fee schedule,,223,,,,,,,fee schedule,,240,,,,,,,fee schedule,,240,,,,,,,fee schedule,,240,,,,,,,fee schedule,,240,,,,,,,fee schedule,,244,,,,,,,fee schedule,,256,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,452,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,411,,,,,,,fee schedule,,424,,,,,,,fee schedule,,925,,,,,,,fee schedule,,88,925,
94003 - VENT MGMT INPAT SUBQ DAY,94003,CPT,,both,,,14524,14524,,24454,,,,,,,case rate,,29424,,,,,,,case rate,,23755,,,,,,,case rate,,23755,,,,,,,case rate,,34052,,,,,,,case rate,,34052,,,,,,,case rate,,25416,,,,,,,case rate,,16530,,,,,,,case rate,,  ,,,,,,,case rate,,22079,,,,,,,case rate,,22079,,,,,,,case rate,,22079,,,,,,,case rate,,22521,,,,,,,case rate,,22079,,,,,,,case rate,,22079,,,,,,,case rate,,22079,,,,,,,case rate,,20533,,,,,,,case rate,,22079,,,,,,,case rate,,22079,,,,,,,case rate,,22079,,,,,,,case rate,,22079,,,,,,,case rate,,22521,,,,,,,case rate,,23625,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16530,34052,
94010 - BREATHING CAPACITY TEST,94010,CPT,,both,,,53,53,,4,,,,,,,fee schedule,,16,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,43,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,4,77,
94060 - EVALUATION OF WHEEZING,94060,CPT,,both,,,484,484,,29,,,,,,,fee schedule,,25,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,25,162,
94375 - RESPIRATORY FLOW VOLUME LOOP,94375,CPT,,both,,,349,349,,32,,,,,,,fee schedule,,28,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,28,162,
945 - Rehabilitation with CC/MCC,945,MS-DRG,,inpatient,,,372,372,,36,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,72,,,,,,,fee schedule,,72,,,,,,,fee schedule,,192,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,108,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,124,,,,,,,fee schedule,,154,,,,,,,fee schedule,,154,,,,,,,fee schedule,,154,,,,,,,fee schedule,,154,,,,,,,fee schedule,,154,,,,,,,fee schedule,,154,,,,,,,fee schedule,,169,,,,,,,fee schedule,,154,,,,,,,fee schedule,,154,,,,,,,fee schedule,,154,,,,,,,fee schedule,,159,,,,,,,fee schedule,,346,,,,,,,fee schedule,,36,346,
94617 - EXERCISE TST BRNCSPSM W/ECG,94617,CPT,,both,,,256,256,,19,,,,,,,fee schedule,,64,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,25,,,,,,,fee schedule,,25,,,,,,,fee schedule,,63,,,,,,,fee schedule,,50,,,,,,,fee schedule,,50,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,19,114,
94618 - PULMONARY STRESS TESTING,94618,CPT,,both,,,24,24,,12,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,42,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,12,76,
94621 - CARDIOPULM EXERCISE TESTING,94621,CPT,,both,,,190,190,,65,,,,,,,fee schedule,,127,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,80,,,,,,,fee schedule,,80,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,127,
94640 - AIRWAY INHALATION TREATMENT,94640,CPT,,both,,,93,93,,12,,,,,,,fee schedule,,39,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,42,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,10,76,
94644 - CBT 1ST HOUR,94644,CPT,,both,,,15644,15644,,15699,,,,,,,case rate,,18889,,,,,,,case rate,,15250,,,,,,,case rate,,15250,,,,,,,case rate,,21860,,,,,,,case rate,,21860,,,,,,,case rate,,16316,,,,,,,case rate,,10612,,,,,,,case rate,,  ,,,,,,,case rate,,14661,,,,,,,case rate,,14661,,,,,,,case rate,,14661,,,,,,,case rate,,14954,,,,,,,case rate,,14661,,,,,,,case rate,,14661,,,,,,,case rate,,14661,,,,,,,case rate,,13635,,,,,,,case rate,,14661,,,,,,,case rate,,14661,,,,,,,case rate,,14661,,,,,,,case rate,,14661,,,,,,,case rate,,14954,,,,,,,case rate,,15687,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10612,21860,
94645 - CBT EACH ADDL HOUR,94645,CPT,,both,,,137,137,,10,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,51,,,,,,,fee schedule,,27,,,,,,,fee schedule,,27,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,45,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,42,,,,,,,fee schedule,,92,,,,,,,fee schedule,,10,92,
94660 - POS AIRWAY PRESSURE CPAP,94660,CPT,,both,,,347,347,,32,,,,,,,fee schedule,,75,,,,,,,fee schedule,,220,,,,,,,fee schedule,,220,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,142,,,,,,,fee schedule,,149,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,22,222,
94664 - EVALUATE PT USE OF INHALER,94664,CPT,,both,,,107,107,,11,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,42,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
947 - Signs and symptoms with MCC,947,MS-DRG,,inpatient,,,,,,207,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,207,226,
94726 - PULM FUNCT TST PLETHYSMOGRAP,94726,CPT,,both,,,113,113,,7,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,7,74,
94727 - PULM FUNCTION TEST BY GAS,94727,CPT,,both,,,113,113,,7,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,41,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,7,74,
94729 - CO/MEMBANE DIFFUSE CAPACITY,94729,CPT,,both,,,249,249,,22,,,,,,,fee schedule,,17,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,86,,,,,,,fee schedule,,86,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,17,162,
94760 - MEASURE BLOOD OXYGEN LEVEL,94760,CPT,,both,,,16897,16897,,22486,,,,,,,case rate,,27056,,,,,,,case rate,,21843,,,,,,,case rate,,21843,,,,,,,case rate,,31311,,,,,,,case rate,,31311,,,,,,,case rate,,23371,,,,,,,case rate,,15200,,,,,,,case rate,,  ,,,,,,,case rate,,20411,,,,,,,case rate,,20411,,,,,,,case rate,,20411,,,,,,,case rate,,20820,,,,,,,case rate,,20411,,,,,,,case rate,,20411,,,,,,,case rate,,20411,,,,,,,case rate,,18983,,,,,,,case rate,,20411,,,,,,,case rate,,20411,,,,,,,case rate,,20411,,,,,,,case rate,,20411,,,,,,,case rate,,20820,,,,,,,case rate,,21840,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15200,31311,
948 - Signs and symptoms without MCC,948,MS-DRG,,inpatient,,,591,591,,37,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,37,
949 - Aftercare with CC/MCC,949,MS-DRG,,inpatient,,,267,267,,24,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,24,132,
950 - Aftercare without CC/MCC,950,MS-DRG,,inpatient,,,7,7,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3,5,
951 - Other factors influencing health status,951,MS-DRG,,inpatient,,,1,1,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
95249 - CONT GLUC MNTR PT PROV EQP,95249,CPT,,both,,,6635,6635,,12527,,,,,,,case rate,,15073,,,,,,,case rate,,12169,,,,,,,case rate,,12169,,,,,,,case rate,,17444,,,,,,,case rate,,17444,,,,,,,case rate,,13020,,,,,,,case rate,,8468,,,,,,,case rate,,  ,,,,,,,case rate,,11974,,,,,,,case rate,,11974,,,,,,,case rate,,11974,,,,,,,case rate,,12214,,,,,,,case rate,,11974,,,,,,,case rate,,11974,,,,,,,case rate,,11974,,,,,,,case rate,,11136,,,,,,,case rate,,11974,,,,,,,case rate,,11974,,,,,,,case rate,,11974,,,,,,,case rate,,11974,,,,,,,case rate,,12214,,,,,,,case rate,,12812,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8468,17444,
95250 - CONT GLUC MNTR PHYS/QHP EQP,95250,CPT,,both,,,17462,17462,,15837,,,,,,,case rate,,19055,,,,,,,case rate,,15384,,,,,,,case rate,,15384,,,,,,,case rate,,22052,,,,,,,case rate,,22052,,,,,,,case rate,,16460,,,,,,,case rate,,10705,,,,,,,case rate,,  ,,,,,,,case rate,,14778,,,,,,,case rate,,14778,,,,,,,case rate,,14778,,,,,,,case rate,,15074,,,,,,,case rate,,14778,,,,,,,case rate,,14778,,,,,,,case rate,,14778,,,,,,,case rate,,13744,,,,,,,case rate,,14778,,,,,,,case rate,,14778,,,,,,,case rate,,14778,,,,,,,case rate,,14778,,,,,,,case rate,,15074,,,,,,,case rate,,15813,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10705,22052,
95251 - CONT GLUC MNTR ANALYSIS I&R,95251,CPT,,both,,,8409,8409,,10348,,,,,,,case rate,,12452,,,,,,,case rate,,10053,,,,,,,case rate,,10053,,,,,,,case rate,,14410,,,,,,,case rate,,14410,,,,,,,case rate,,10756,,,,,,,case rate,,6995,,,,,,,case rate,,  ,,,,,,,case rate,,10128,,,,,,,case rate,,10128,,,,,,,case rate,,10128,,,,,,,case rate,,10331,,,,,,,case rate,,10128,,,,,,,case rate,,10128,,,,,,,case rate,,10128,,,,,,,case rate,,9419,,,,,,,case rate,,10128,,,,,,,case rate,,10128,,,,,,,case rate,,10128,,,,,,,case rate,,10128,,,,,,,case rate,,10331,,,,,,,case rate,,10837,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6995,14410,
"956 - Limb reattachment, hip & femur procedures for multiple sig traum",956,MS-DRG,,inpatient,,,11121,11121,,628,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,7019,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4137,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4449,,,,,,,fee schedule,,4538,,,,,,,fee schedule,,4760,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,538,7019,
957 - Other O.R. procedures for multiple significant trauma with MCC,957,MS-DRG,,inpatient,,,20868,20868,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11492,,,,,,,fee schedule,,11492,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11492,11492,
95700 - EEG CONT REC W/VID EEG TECH,95700,CPT,,both,,,38426,38426,,17783,,,,,,,case rate,,21397,,,,,,,case rate,,17275,,,,,,,case rate,,17275,,,,,,,case rate,,24762,,,,,,,case rate,,24762,,,,,,,case rate,,18483,,,,,,,case rate,,12021,,,,,,,case rate,,  ,,,,,,,case rate,,16427,,,,,,,case rate,,16427,,,,,,,case rate,,16427,,,,,,,case rate,,16756,,,,,,,case rate,,16427,,,,,,,case rate,,16427,,,,,,,case rate,,16427,,,,,,,case rate,,15277,,,,,,,case rate,,16427,,,,,,,case rate,,16427,,,,,,,case rate,,16427,,,,,,,case rate,,16427,,,,,,,case rate,,16756,,,,,,,case rate,,17577,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12021,24762,
95716 - VEEG EA 12-26HR CONT MNTR,95716,CPT,,both,,,22622,22622,,25950,,,,,,,case rate,,31223,,,,,,,case rate,,25208,,,,,,,case rate,,25208,,,,,,,case rate,,36134,,,,,,,case rate,,36134,,,,,,,case rate,,26971,,,,,,,case rate,,17541,,,,,,,case rate,,  ,,,,,,,case rate,,23346,,,,,,,case rate,,23346,,,,,,,case rate,,23346,,,,,,,case rate,,23813,,,,,,,case rate,,23346,,,,,,,case rate,,23346,,,,,,,case rate,,23346,,,,,,,case rate,,21712,,,,,,,case rate,,23346,,,,,,,case rate,,23346,,,,,,,case rate,,23346,,,,,,,case rate,,23346,,,,,,,case rate,,23813,,,,,,,case rate,,24980,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17541,36134,
95812 - EEG 41-60 MINUTES,95812,CPT,,both,,,6209,6209,,107,,,,,,,fee schedule,,113,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,4511,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,471,,,,,,,fee schedule,,3687,,,,,,,fee schedule,,3687,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2659,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2859,,,,,,,fee schedule,,2916,,,,,,,fee schedule,,3059,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,414,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,377,,,,,,,fee schedule,,388,,,,,,,fee schedule,,847,,,,,,,fee schedule,,107,4511,
95813 - EEG EXTND MNTR 61-119 MIN,95813,CPT,,both,,,682,682,,216,,,,,,,fee schedule,,165,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,170,,,,,,,fee schedule,,170,,,,,,,fee schedule,,187,,,,,,,fee schedule,,609,,,,,,,fee schedule,,609,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,101,762,
95816 - EEG AWAKE AND DROWSY,95816,CPT,,both,,,6086,6086,,125,,,,,,,fee schedule,,109,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,7783,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1186,,,,,,,fee schedule,,3687,,,,,,,fee schedule,,3687,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4588,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,4933,,,,,,,fee schedule,,5032,,,,,,,fee schedule,,5278,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,109,7783,
95819 - EEG AWAKE AND ASLEEP,95819,CPT,,both,,,165,165,,70,,,,,,,fee schedule,,112,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,20,1121,
95822 - EEG COMA OR SLEEP ONLY,95822,CPT,,both,,,1,1,,41,,,,,,,fee schedule,,109,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,183,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,161,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,151,,,,,,,fee schedule,,329,,,,,,,fee schedule,,41,329,
95851 - RANGE OF MOTION MEASUREMENTS,95851,CPT,,both,,,101,101,,3,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,80,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,3,145,
95852 - RANGE OF MOTION MEASUREMENTS,95852,CPT,,both,,,24,24,,4,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
95860 - MUSCLE TEST ONE LIMB,95860,CPT,,both,,,13914,13914,,15779,,,,,,,case rate,,18985,,,,,,,case rate,,15328,,,,,,,case rate,,15328,,,,,,,case rate,,21971,,,,,,,case rate,,21971,,,,,,,case rate,,16399,,,,,,,case rate,,10666,,,,,,,case rate,,  ,,,,,,,case rate,,14729,,,,,,,case rate,,14729,,,,,,,case rate,,14729,,,,,,,case rate,,15023,,,,,,,case rate,,14729,,,,,,,case rate,,14729,,,,,,,case rate,,14729,,,,,,,case rate,,13698,,,,,,,case rate,,14729,,,,,,,case rate,,14729,,,,,,,case rate,,14729,,,,,,,case rate,,14729,,,,,,,case rate,,15023,,,,,,,case rate,,15760,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10666,21971,
95885 - MUSC TST DONE W/NERV TST LIM,95885,CPT,,both,,,8562,8562,,11445,,,,,,,case rate,,13771,,,,,,,case rate,,11118,,,,,,,case rate,,11118,,,,,,,case rate,,15937,,,,,,,case rate,,15937,,,,,,,case rate,,11895,,,,,,,case rate,,7736,,,,,,,case rate,,  ,,,,,,,case rate,,11057,,,,,,,case rate,,11057,,,,,,,case rate,,11057,,,,,,,case rate,,11278,,,,,,,case rate,,11057,,,,,,,case rate,,11057,,,,,,,case rate,,11057,,,,,,,case rate,,10283,,,,,,,case rate,,11057,,,,,,,case rate,,11057,,,,,,,case rate,,11057,,,,,,,case rate,,11057,,,,,,,case rate,,11278,,,,,,,case rate,,11831,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7736,15937,
95907 - NVR CNDJ TST 1-2 STUDIES,95907,CPT,,both,,,16067,16067,,16195,,,,,,,case rate,,19486,,,,,,,case rate,,15732,,,,,,,case rate,,15732,,,,,,,case rate,,22551,,,,,,,case rate,,22551,,,,,,,case rate,,16832,,,,,,,case rate,,10947,,,,,,,case rate,,  ,,,,,,,case rate,,15082,,,,,,,case rate,,15082,,,,,,,case rate,,15082,,,,,,,case rate,,15383,,,,,,,case rate,,15082,,,,,,,case rate,,15082,,,,,,,case rate,,15082,,,,,,,case rate,,14026,,,,,,,case rate,,15082,,,,,,,case rate,,15082,,,,,,,case rate,,15082,,,,,,,case rate,,15082,,,,,,,case rate,,15383,,,,,,,case rate,,16137,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10947,22551,
95925 - SOMATOSENSORY TESTING,95925,CPT,,both,,,21692,21692,,20838,,,,,,,case rate,,25073,,,,,,,case rate,,20243,,,,,,,case rate,,20243,,,,,,,case rate,,29017,,,,,,,case rate,,29017,,,,,,,case rate,,21658,,,,,,,case rate,,14086,,,,,,,case rate,,  ,,,,,,,case rate,,19015,,,,,,,case rate,,19015,,,,,,,case rate,,19015,,,,,,,case rate,,19396,,,,,,,case rate,,19015,,,,,,,case rate,,19015,,,,,,,case rate,,19015,,,,,,,case rate,,17684,,,,,,,case rate,,19015,,,,,,,case rate,,19015,,,,,,,case rate,,19015,,,,,,,case rate,,19015,,,,,,,case rate,,19396,,,,,,,case rate,,20347,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14086,29017,
95970 - ALYS NPGT W/O PRGRMG,95970,CPT,,both,,,393,393,,28,,,,,,,fee schedule,,48,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,212,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,13,381,
95976 - ALYS SMPL CN NPGT PRGRMG,95976,CPT,,both,,,20867,20867,,16511,,,,,,,case rate,,19866,,,,,,,case rate,,16039,,,,,,,case rate,,16039,,,,,,,case rate,,22991,,,,,,,case rate,,22991,,,,,,,case rate,,17160,,,,,,,case rate,,11161,,,,,,,case rate,,  ,,,,,,,case rate,,15349,,,,,,,case rate,,15349,,,,,,,case rate,,15349,,,,,,,case rate,,15656,,,,,,,case rate,,15349,,,,,,,case rate,,15349,,,,,,,case rate,,15349,,,,,,,case rate,,14275,,,,,,,case rate,,15349,,,,,,,case rate,,15349,,,,,,,case rate,,15349,,,,,,,case rate,,15349,,,,,,,case rate,,15656,,,,,,,case rate,,16423,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11161,22991,
96110 - DEVELOPMENTAL SCREEN W/SCORE,96110,CPT,,both,,,308,308,,26,,,,,,,fee schedule,,22,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,5,137,
96112 - DEVEL TST PHYS/QHP 1ST HR,96112,CPT,,both,,,23206,23206,,24380,,,,,,,case rate,,29335,,,,,,,case rate,,23683,,,,,,,case rate,,23683,,,,,,,case rate,,33949,,,,,,,case rate,,33949,,,,,,,case rate,,25340,,,,,,,case rate,,16480,,,,,,,case rate,,  ,,,,,,,case rate,,22016,,,,,,,case rate,,22016,,,,,,,case rate,,22016,,,,,,,case rate,,22457,,,,,,,case rate,,22016,,,,,,,case rate,,22016,,,,,,,case rate,,22016,,,,,,,case rate,,20475,,,,,,,case rate,,22016,,,,,,,case rate,,22016,,,,,,,case rate,,22016,,,,,,,case rate,,22016,,,,,,,case rate,,22457,,,,,,,case rate,,23558,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16480,33949,
96113 - DEVEL TST PHYS/QHP EA ADDL,96113,CPT,,both,,,26187,26187,,24140,,,,,,,case rate,,29046,,,,,,,case rate,,23450,,,,,,,case rate,,23450,,,,,,,case rate,,33614,,,,,,,case rate,,33614,,,,,,,case rate,,25090,,,,,,,case rate,,16318,,,,,,,case rate,,  ,,,,,,,case rate,,21813,,,,,,,case rate,,21813,,,,,,,case rate,,21813,,,,,,,case rate,,22249,,,,,,,case rate,,21813,,,,,,,case rate,,21813,,,,,,,case rate,,21813,,,,,,,case rate,,20286,,,,,,,case rate,,21813,,,,,,,case rate,,21813,,,,,,,case rate,,21813,,,,,,,case rate,,21813,,,,,,,case rate,,22249,,,,,,,case rate,,23340,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16318,33614,
96127 - BRIEF EMOTIONAL/BEHAV ASSMT,96127,CPT,,both,,,63,63,,4,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
96130 - PSYCL TST EVAL PHYS/QHP 1ST,96130,CPT,,both,,,13598,13598,,24269,,,,,,,case rate,,29201,,,,,,,case rate,,23575,,,,,,,case rate,,23575,,,,,,,case rate,,33794,,,,,,,case rate,,33794,,,,,,,case rate,,25224,,,,,,,case rate,,16405,,,,,,,case rate,,  ,,,,,,,case rate,,21922,,,,,,,case rate,,21922,,,,,,,case rate,,21922,,,,,,,case rate,,22360,,,,,,,case rate,,21922,,,,,,,case rate,,21922,,,,,,,case rate,,21922,,,,,,,case rate,,20387,,,,,,,case rate,,21922,,,,,,,case rate,,21922,,,,,,,case rate,,21922,,,,,,,case rate,,21922,,,,,,,case rate,,22360,,,,,,,case rate,,23456,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16405,33794,
96131 - PSYCL TST EVAL PHYS/QHP EA,96131,CPT,,both,,,17803,17803,,24200,,,,,,,case rate,,29118,,,,,,,case rate,,23508,,,,,,,case rate,,23508,,,,,,,case rate,,33698,,,,,,,case rate,,33698,,,,,,,case rate,,25152,,,,,,,case rate,,16358,,,,,,,case rate,,  ,,,,,,,case rate,,21863,,,,,,,case rate,,21863,,,,,,,case rate,,21863,,,,,,,case rate,,22301,,,,,,,case rate,,21863,,,,,,,case rate,,21863,,,,,,,case rate,,21863,,,,,,,case rate,,20333,,,,,,,case rate,,21863,,,,,,,case rate,,21863,,,,,,,case rate,,21863,,,,,,,case rate,,21863,,,,,,,case rate,,22301,,,,,,,case rate,,23394,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16358,33698,
96132 - NRPSYC TST EVAL PHYS/QHP 1ST,96132,CPT,,both,,,18223,18223,,24252,,,,,,,case rate,,29180,,,,,,,case rate,,23558,,,,,,,case rate,,23558,,,,,,,case rate,,33770,,,,,,,case rate,,33770,,,,,,,case rate,,25206,,,,,,,case rate,,16393,,,,,,,case rate,,  ,,,,,,,case rate,,21907,,,,,,,case rate,,21907,,,,,,,case rate,,21907,,,,,,,case rate,,22345,,,,,,,case rate,,21907,,,,,,,case rate,,21907,,,,,,,case rate,,21907,,,,,,,case rate,,20374,,,,,,,case rate,,21907,,,,,,,case rate,,21907,,,,,,,case rate,,21907,,,,,,,case rate,,21907,,,,,,,case rate,,22345,,,,,,,case rate,,23441,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16393,33770,
96133 - NRPSYC TST EVAL PHYS/QHP EA,96133,CPT,,both,,,74284,74284,,24162,,,,,,,case rate,,29073,,,,,,,case rate,,23471,,,,,,,case rate,,23471,,,,,,,case rate,,33645,,,,,,,case rate,,33645,,,,,,,case rate,,25113,,,,,,,case rate,,16333,,,,,,,case rate,,  ,,,,,,,case rate,,21831,,,,,,,case rate,,21831,,,,,,,case rate,,21831,,,,,,,case rate,,22268,,,,,,,case rate,,21831,,,,,,,case rate,,21831,,,,,,,case rate,,21831,,,,,,,case rate,,20303,,,,,,,case rate,,21831,,,,,,,case rate,,21831,,,,,,,case rate,,21831,,,,,,,case rate,,21831,,,,,,,case rate,,22268,,,,,,,case rate,,23360,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16333,33645,
96136 - PSYCL/NRPSYC TST PHY/QHP 1ST,96136,CPT,,both,,,28065,28065,,23887,,,,,,,case rate,,28742,,,,,,,case rate,,23204,,,,,,,case rate,,23204,,,,,,,case rate,,33262,,,,,,,case rate,,33262,,,,,,,case rate,,24827,,,,,,,case rate,,16147,,,,,,,case rate,,  ,,,,,,,case rate,,21599,,,,,,,case rate,,21599,,,,,,,case rate,,21599,,,,,,,case rate,,22031,,,,,,,case rate,,21599,,,,,,,case rate,,21599,,,,,,,case rate,,21599,,,,,,,case rate,,20087,,,,,,,case rate,,21599,,,,,,,case rate,,21599,,,,,,,case rate,,21599,,,,,,,case rate,,21599,,,,,,,case rate,,22031,,,,,,,case rate,,23110,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16147,33262,
96137 - PSYCL/NRPSYC TST PHY/QHP EA,96137,CPT,,both,,,29181,29181,,23766,,,,,,,case rate,,28596,,,,,,,case rate,,23087,,,,,,,case rate,,23087,,,,,,,case rate,,33094,,,,,,,case rate,,33094,,,,,,,case rate,,24701,,,,,,,case rate,,16065,,,,,,,case rate,,  ,,,,,,,case rate,,21496,,,,,,,case rate,,21496,,,,,,,case rate,,21496,,,,,,,case rate,,21926,,,,,,,case rate,,21496,,,,,,,case rate,,21496,,,,,,,case rate,,21496,,,,,,,case rate,,19991,,,,,,,case rate,,21496,,,,,,,case rate,,21496,,,,,,,case rate,,21496,,,,,,,case rate,,21496,,,,,,,case rate,,21926,,,,,,,case rate,,23001,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16065,33094,
96360 - HYDRATION IV INFUSION INIT,96360,CPT,,both,,,501,501,,51,,,,,,,fee schedule,,1965,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,362,,,,,,,fee schedule,,176,,,,,,,fee schedule,,159,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,184,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,212,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,319,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,299,,,,,,,fee schedule,,652,,,,,,,fee schedule,,51,1965,
96361 - HYDRATE IV INFUSION ADD-ON,96361,CPT,,both,,,51,51,,8,,,,,,,fee schedule,,28,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,42,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
96365 - THER/PROPH/DIAG IV INF INIT,96365,CPT,,both,,,18708,18708,,22865,,,,,,,case rate,,27511,,,,,,,case rate,,22211,,,,,,,case rate,,22211,,,,,,,case rate,,31838,,,,,,,case rate,,31838,,,,,,,case rate,,23764,,,,,,,case rate,,15456,,,,,,,case rate,,  ,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,21147,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,19281,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,21147,,,,,,,case rate,,22183,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15456,31838,
96366 - THER/PROPH/DIAG IV INF ADDON,96366,CPT,,both,,,31307,31307,,26733,,,,,,,case rate,,32167,,,,,,,case rate,,25969,,,,,,,case rate,,25969,,,,,,,case rate,,37226,,,,,,,case rate,,37226,,,,,,,case rate,,27785,,,,,,,case rate,,18071,,,,,,,case rate,,  ,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,24490,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,22329,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,24010,,,,,,,case rate,,24490,,,,,,,case rate,,25691,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18071,37226,
96367 - TX/PROPH/DG ADDL SEQ IV INF,96367,CPT,,both,,,35837,35837,,22832,,,,,,,case rate,,27472,,,,,,,case rate,,22179,,,,,,,case rate,,22179,,,,,,,case rate,,31792,,,,,,,case rate,,31792,,,,,,,case rate,,23730,,,,,,,case rate,,15433,,,,,,,case rate,,  ,,,,,,,case rate,,20704,,,,,,,case rate,,20704,,,,,,,case rate,,20704,,,,,,,case rate,,21118,,,,,,,case rate,,20704,,,,,,,case rate,,20704,,,,,,,case rate,,20704,,,,,,,case rate,,19255,,,,,,,case rate,,20704,,,,,,,case rate,,20704,,,,,,,case rate,,20704,,,,,,,case rate,,20704,,,,,,,case rate,,21118,,,,,,,case rate,,22154,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15433,31792,
96368 - THER/DIAG CONCURRENT INF,96368,CPT,,both,,,121,121,,22,,,,,,,fee schedule,,42,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,16,,,,,,,fee schedule,,176,,,,,,,fee schedule,,159,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,14,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,29,,,,,,,fee schedule,,13,267,
96372 - THER/PROPH/DIAG INJ SC/IM,96372,CPT,,both,,,164,164,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,63,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,12,114,
96374 - THER/PROPH/DIAG INJ IV PUSH,96374,CPT,,both,,,189,189,,  ,,,,,,,fee schedule,,93,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,43,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,39,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,42,,,,,,,fee schedule,,43,,,,,,,fee schedule,,45,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,621,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,582,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,39,1271,
96375 - TX/PRO/DX INJ NEW DRUG ADDON,96375,CPT,,both,,,106,106,,11,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,42,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
96376 - TX/PRO/DX INJ SAME DRUG ADON,96376,CPT,,both,,,356,356,,6,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,6,74,
96377 - APPLICATON ON-BODY INJECTOR,96377,CPT,,both,,,138,138,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,54,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,48,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,43,,,,,,,fee schedule,,45,,,,,,,fee schedule,,97,,,,,,,fee schedule,,12,97,
96401 - CHEMO ANTI-NEOPL SQ/IM,96401,CPT,,both,,,1125,1125,,65,,,,,,,fee schedule,,667,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,77,,,,,,,fee schedule,,77,,,,,,,fee schedule,,86,,,,,,,fee schedule,,226,,,,,,,fee schedule,,226,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,65,667,
96402 - CHEMO HORMON ANTINEOPL SQ/IM,96402,CPT,,both,,,2059,2059,,191,,,,,,,fee schedule,,651,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,190,,,,,,,fee schedule,,190,,,,,,,fee schedule,,103,,,,,,,fee schedule,,505,,,,,,,fee schedule,,505,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,91,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,186,,,,,,,fee schedule,,58,651,
96409 - CHEMO IV PUSH SNGL DRUG,96409,CPT,,both,,,436,436,,110,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,313,,,,,,,fee schedule,,313,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,184,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,198,,,,,,,fee schedule,,202,,,,,,,fee schedule,,212,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,110,1171,
96411 - CHEMO IV PUSH ADDL DRUG,96411,CPT,,both,,,3948,3948,,191,,,,,,,fee schedule,,651,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,391,,,,,,,fee schedule,,391,,,,,,,fee schedule,,103,,,,,,,fee schedule,,505,,,,,,,fee schedule,,505,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,91,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,186,,,,,,,fee schedule,,83,651,
96413 - CHEMO IV INFUSION 1 HR,96413,CPT,,both,,,776,776,,135,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,504,,,,,,,fee schedule,,504,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,362,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,297,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,342,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,319,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,299,,,,,,,fee schedule,,652,,,,,,,fee schedule,,135,1171,
96415 - CHEMO IV INFUSION ADDL HR,96415,CPT,,both,,,300,300,,28,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,923,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,812,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,760,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,28,1661,
96416 - CHEMO PROLONG INFUSE W/PUMP,96416,CPT,,both,,,472,472,,140,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,504,,,,,,,fee schedule,,504,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,923,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,297,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,342,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,812,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,760,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,140,1661,
96417 - CHEMO IV INFUS EACH ADDL SEQ,96417,CPT,,both,,,266,266,,62,,,,,,,fee schedule,,1171,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,362,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,319,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,290,,,,,,,fee schedule,,299,,,,,,,fee schedule,,652,,,,,,,fee schedule,,60,1171,
96450 - CHEMOTHERAPY INTO CNS,96450,CPT,,both,,,1742,1742,,325,,,,,,,fee schedule,,771,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,727,,,,,,,fee schedule,,727,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,325,771,
96523 - IRRIG DRUG DELIVERY DEVICE,96523,CPT,,both,,,773,773,,71,,,,,,,fee schedule,,58,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,229,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,202,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,189,,,,,,,fee schedule,,413,,,,,,,fee schedule,,41,413,
96900 - ULTRAVIOLET LIGHT THERAPY,96900,CPT,,both,,,143,143,,11,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
96910 - PHOTOCHEMOTHERAPY WITH UV-B,96910,CPT,,both,,,264,264,,137,,,,,,,fee schedule,,221,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,145,,,,,,,fee schedule,,145,,,,,,,fee schedule,,112,,,,,,,fee schedule,,129,,,,,,,fee schedule,,129,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,221,
96912 - PHOTOCHEMOTHERAPY WITH UV-A,96912,CPT,,both,,,13630,13630,,12546,,,,,,,case rate,,15096,,,,,,,case rate,,12187,,,,,,,case rate,,12187,,,,,,,case rate,,17470,,,,,,,case rate,,17470,,,,,,,case rate,,13040,,,,,,,case rate,,8481,,,,,,,case rate,,  ,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,12230,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11151,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,12230,,,,,,,case rate,,12829,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8481,17470,
97112 - NEUROMUSCULAR REEDUCATION,97112,CPT,,both,,,12221,12221,,3168,,,,,,,case rate,,3812,,,,,,,case rate,,3078,,,,,,,case rate,,3078,,,,,,,case rate,,4412,,,,,,,case rate,,4412,,,,,,,case rate,,3293,,,,,,,case rate,,2142,,,,,,,case rate,,  ,,,,,,,case rate,,4045,,,,,,,case rate,,4045,,,,,,,case rate,,4045,,,,,,,case rate,,4126,,,,,,,case rate,,4045,,,,,,,case rate,,4045,,,,,,,case rate,,4045,,,,,,,case rate,,3762,,,,,,,case rate,,4045,,,,,,,case rate,,4045,,,,,,,case rate,,4045,,,,,,,case rate,,4045,,,,,,,case rate,,4126,,,,,,,case rate,,4328,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2142,4450,
97161 - PT EVAL LOW COMPLEX 20 MIN,97161,CPT,,both,,,12263,12263,,11255,,,,,,,case rate,,13542,,,,,,,case rate,,10933,,,,,,,case rate,,10933,,,,,,,case rate,,15672,,,,,,,case rate,,15672,,,,,,,case rate,,11698,,,,,,,case rate,,7608,,,,,,,case rate,,  ,,,,,,,case rate,,10896,,,,,,,case rate,,10896,,,,,,,case rate,,10896,,,,,,,case rate,,11114,,,,,,,case rate,,10896,,,,,,,case rate,,10896,,,,,,,case rate,,10896,,,,,,,case rate,,10133,,,,,,,case rate,,10896,,,,,,,case rate,,10896,,,,,,,case rate,,10896,,,,,,,case rate,,10896,,,,,,,case rate,,11114,,,,,,,case rate,,11659,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7608,15672,
97162 - PT EVAL MOD COMPLEX 30 MIN,97162,CPT,,both,,,14746,14746,,11258,,,,,,,case rate,,13546,,,,,,,case rate,,10936,,,,,,,case rate,,10936,,,,,,,case rate,,15676,,,,,,,case rate,,15676,,,,,,,case rate,,11701,,,,,,,case rate,,7610,,,,,,,case rate,,  ,,,,,,,case rate,,10899,,,,,,,case rate,,10899,,,,,,,case rate,,10899,,,,,,,case rate,,11117,,,,,,,case rate,,10899,,,,,,,case rate,,10899,,,,,,,case rate,,10899,,,,,,,case rate,,10136,,,,,,,case rate,,10899,,,,,,,case rate,,10899,,,,,,,case rate,,10899,,,,,,,case rate,,10899,,,,,,,case rate,,11117,,,,,,,case rate,,11662,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7610,15676,
97165 - OT EVAL LOW COMPLEX 30 MIN,97165,CPT,,both,,,11935,11935,,11126,,,,,,,case rate,,13387,,,,,,,case rate,,10808,,,,,,,case rate,,10808,,,,,,,case rate,,15493,,,,,,,case rate,,15493,,,,,,,case rate,,11564,,,,,,,case rate,,7521,,,,,,,case rate,,  ,,,,,,,case rate,,10787,,,,,,,case rate,,10787,,,,,,,case rate,,10787,,,,,,,case rate,,11003,,,,,,,case rate,,10787,,,,,,,case rate,,10787,,,,,,,case rate,,10787,,,,,,,case rate,,10032,,,,,,,case rate,,10787,,,,,,,case rate,,10787,,,,,,,case rate,,10787,,,,,,,case rate,,10787,,,,,,,case rate,,11003,,,,,,,case rate,,11542,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7521,15493,
97166 - OT EVAL MOD COMPLEX 45 MIN,97166,CPT,,both,,,11477,11477,,11150,,,,,,,case rate,,13415,,,,,,,case rate,,10831,,,,,,,case rate,,10831,,,,,,,case rate,,15525,,,,,,,case rate,,15525,,,,,,,case rate,,11588,,,,,,,case rate,,7537,,,,,,,case rate,,  ,,,,,,,case rate,,10807,,,,,,,case rate,,10807,,,,,,,case rate,,10807,,,,,,,case rate,,11023,,,,,,,case rate,,10807,,,,,,,case rate,,10807,,,,,,,case rate,,10807,,,,,,,case rate,,10050,,,,,,,case rate,,10807,,,,,,,case rate,,10807,,,,,,,case rate,,10807,,,,,,,case rate,,10807,,,,,,,case rate,,11023,,,,,,,case rate,,11563,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7537,15525,
974 - HIV with major related condition with MCC,974,MS-DRG,,inpatient,,,7142,7142,,488,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,4508,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2657,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2857,,,,,,,fee schedule,,2914,,,,,,,fee schedule,,3057,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,488,4508,
975 - HIV with major related condition with CC,975,MS-DRG,,inpatient,,,4696,4696,,78,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,72,273,
97530 - THERAPEUTIC ACTIVITIES,97530,CPT,,both,,,7323,7323,,6894,,,,,,,case rate,,8295,,,,,,,case rate,,6697,,,,,,,case rate,,6697,,,,,,,case rate,,9600,,,,,,,case rate,,9600,,,,,,,case rate,,7165,,,,,,,case rate,,4660,,,,,,,case rate,,  ,,,,,,,case rate,,7202,,,,,,,case rate,,7202,,,,,,,case rate,,7202,,,,,,,case rate,,7346,,,,,,,case rate,,7202,,,,,,,case rate,,7202,,,,,,,case rate,,7202,,,,,,,case rate,,6698,,,,,,,case rate,,7202,,,,,,,case rate,,7202,,,,,,,case rate,,7202,,,,,,,case rate,,7202,,,,,,,case rate,,7346,,,,,,,case rate,,7706,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4660,9600,
97597 - RMVL DEVITAL TIS 20 CM/<,97597,CPT,,both,,,19707,19707,,23403,,,,,,,case rate,,28160,,,,,,,case rate,,22734,,,,,,,case rate,,22734,,,,,,,case rate,,32589,,,,,,,case rate,,32589,,,,,,,case rate,,24324,,,,,,,case rate,,15820,,,,,,,case rate,,  ,,,,,,,case rate,,21189,,,,,,,case rate,,21189,,,,,,,case rate,,21189,,,,,,,case rate,,21612,,,,,,,case rate,,21189,,,,,,,case rate,,21189,,,,,,,case rate,,21189,,,,,,,case rate,,19705,,,,,,,case rate,,21189,,,,,,,case rate,,21189,,,,,,,case rate,,21189,,,,,,,case rate,,21189,,,,,,,case rate,,21612,,,,,,,case rate,,22672,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15820,32589,
97598 - RMVL DEVITAL TIS ADDL 20CM/<,97598,CPT,,both,,,35057,35057,,26983,,,,,,,case rate,,32467,,,,,,,case rate,,26212,,,,,,,case rate,,26212,,,,,,,case rate,,37573,,,,,,,case rate,,37573,,,,,,,case rate,,28045,,,,,,,case rate,,18240,,,,,,,case rate,,  ,,,,,,,case rate,,24222,,,,,,,case rate,,24222,,,,,,,case rate,,24222,,,,,,,case rate,,24706,,,,,,,case rate,,24222,,,,,,,case rate,,24222,,,,,,,case rate,,24222,,,,,,,case rate,,22526,,,,,,,case rate,,24222,,,,,,,case rate,,24222,,,,,,,case rate,,24222,,,,,,,case rate,,24222,,,,,,,case rate,,24706,,,,,,,case rate,,25917,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18240,37573,
97605 - NEG PRESS WOUND TX <=50 CM,97605,CPT,,both,,,14928,14928,,17923,,,,,,,case rate,,21565,,,,,,,case rate,,17411,,,,,,,case rate,,17411,,,,,,,case rate,,24957,,,,,,,case rate,,24957,,,,,,,case rate,,18628,,,,,,,case rate,,12115,,,,,,,case rate,,  ,,,,,,,case rate,,16545,,,,,,,case rate,,16545,,,,,,,case rate,,16545,,,,,,,case rate,,16876,,,,,,,case rate,,16545,,,,,,,case rate,,16545,,,,,,,case rate,,16545,,,,,,,case rate,,15387,,,,,,,case rate,,16545,,,,,,,case rate,,16545,,,,,,,case rate,,16545,,,,,,,case rate,,16545,,,,,,,case rate,,16876,,,,,,,case rate,,17704,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12115,24957,
977 - HIV with or without other related condition,977,MS-DRG,,inpatient,,,2157,2157,,234,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,161,302,
97802 - MEDICAL NUTRITION INDIV IN,97802,CPT,,both,,,209,209,,43,,,,,,,fee schedule,,62,,,,,,,fee schedule,,53,,,,,,,fee schedule,,53,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,31,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,36,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,1,1121,
97803 - MED NUTRITION INDIV SUBSEQ,97803,CPT,,both,,,268,268,,56,,,,,,,fee schedule,,54,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,141,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,4,253,
981 - Extensive O.R. procedure unrelated to principal diagnosis w MCC,981,MS-DRG,,inpatient,,,12514,12514,,333,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,7898,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,4655,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5006,,,,,,,fee schedule,,5106,,,,,,,fee schedule,,5356,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,333,7898,
982 - Extensive O.R. procedure unrelated to principal diagnosis with C,982,MS-DRG,,inpatient,,,6198,6198,,222,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,164,3912,
983 - Extensive O.R. procedure unrelated to principal diag w/o CC/MCC,983,MS-DRG,,inpatient,,,142,142,,3,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,397,,,,,,,fee schedule,,357,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,600,
987 - Non-extensive O.R. proc unrelated to principal diagnosis with MC,987,MS-DRG,,inpatient,,,7999,7999,,172,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,5048,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,2976,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3200,,,,,,,fee schedule,,3263,,,,,,,fee schedule,,3423,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,172,5048,
988 - Non-extensive O.R. proc unrelated to principal diagnosis with CC,988,MS-DRG,,inpatient,,,95000,95000,,792,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,792,792,
98960 - SELF-MGMT EDUC & TRAIN 1 PT,98960,CPT,,both,,,99,99,,6,,,,,,,fee schedule,,58,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,84,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,74,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,67,,,,,,,fee schedule,,69,,,,,,,fee schedule,,151,,,,,,,fee schedule,,6,151,
98966 - HC PRO PHONE CALL 5-10 MIN,98966,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
98967 - HC PRO PHONE CALL 11-20 MIN,98967,CPT,,both,,,14196,14196,,8039,,,,,,,case rate,,9673,,,,,,,case rate,,7810,,,,,,,case rate,,7810,,,,,,,case rate,,11195,,,,,,,case rate,,11195,,,,,,,case rate,,8356,,,,,,,case rate,,5434,,,,,,,case rate,,  ,,,,,,,case rate,,8172,,,,,,,case rate,,8172,,,,,,,case rate,,8172,,,,,,,case rate,,8335,,,,,,,case rate,,8172,,,,,,,case rate,,8172,,,,,,,case rate,,8172,,,,,,,case rate,,7600,,,,,,,case rate,,8172,,,,,,,case rate,,8172,,,,,,,case rate,,8172,,,,,,,case rate,,8172,,,,,,,case rate,,8335,,,,,,,case rate,,8744,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5434,11195,
98968 - HC PRO PHONE CALL 21-30 MIN,98968,CPT,,both,,,10468,10468,,10081,,,,,,,case rate,,12130,,,,,,,case rate,,9793,,,,,,,case rate,,9793,,,,,,,case rate,,14038,,,,,,,case rate,,14038,,,,,,,case rate,,10478,,,,,,,case rate,,6815,,,,,,,case rate,,  ,,,,,,,case rate,,9902,,,,,,,case rate,,9902,,,,,,,case rate,,9902,,,,,,,case rate,,10100,,,,,,,case rate,,9902,,,,,,,case rate,,9902,,,,,,,case rate,,9902,,,,,,,case rate,,9209,,,,,,,case rate,,9902,,,,,,,case rate,,9902,,,,,,,case rate,,9902,,,,,,,case rate,,9902,,,,,,,case rate,,10100,,,,,,,case rate,,10595,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6815,14038,
99000 - SPECIMEN HANDLING OFFICE-LAB,99000,CPT,,both,,,72711,72711,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,30032,,,,,,,fee schedule,,30032,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,30032,30032,
99024 - POSTOP FOLLOW-UP VISIT,99024,CPT,,both,,,13068,13068,,10278,,,,,,,case rate,,12366,,,,,,,case rate,,9984,,,,,,,case rate,,9984,,,,,,,case rate,,14312,,,,,,,case rate,,14312,,,,,,,case rate,,10682,,,,,,,case rate,,6947,,,,,,,case rate,,  ,,,,,,,case rate,,10068,,,,,,,case rate,,10068,,,,,,,case rate,,10068,,,,,,,case rate,,10270,,,,,,,case rate,,10068,,,,,,,case rate,,10068,,,,,,,case rate,,10068,,,,,,,case rate,,9364,,,,,,,case rate,,10068,,,,,,,case rate,,10068,,,,,,,case rate,,10068,,,,,,,case rate,,10068,,,,,,,case rate,,10270,,,,,,,case rate,,10773,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6947,14312,
99070 - SPECIAL SUPPLIES PHYS/QHP,99070,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
99152 - MOD SED SAME PHYS/QHP 5/>YRS,99152,CPT,,both,,,91,91,,7,,,,,,,fee schedule,,25,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,76,
99173 - VISUAL ACUITY SCREEN,99173,CPT,,both,,,19845,19845,,16751,,,,,,,case rate,,20155,,,,,,,case rate,,16272,,,,,,,case rate,,16272,,,,,,,case rate,,23325,,,,,,,case rate,,23325,,,,,,,case rate,,17410,,,,,,,case rate,,11323,,,,,,,case rate,,  ,,,,,,,case rate,,15553,,,,,,,case rate,,15553,,,,,,,case rate,,15553,,,,,,,case rate,,15864,,,,,,,case rate,,15553,,,,,,,case rate,,15553,,,,,,,case rate,,15553,,,,,,,case rate,,14464,,,,,,,case rate,,15553,,,,,,,case rate,,15553,,,,,,,case rate,,15553,,,,,,,case rate,,15553,,,,,,,case rate,,15864,,,,,,,case rate,,16641,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11323,23325,
99195 - PHLEBOTOMY,99195,CPT,,both,,,212,212,,91,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,67,,,,,,,fee schedule,,176,,,,,,,fee schedule,,159,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,59,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,55,,,,,,,fee schedule,,121,,,,,,,fee schedule,,23,1880,
99202 - OFFICE O/P NEW SF 15-29 MIN,99202,CPT,,both,,,14746,14746,,10337,,,,,,,case rate,,12438,,,,,,,case rate,,10042,,,,,,,case rate,,10042,,,,,,,case rate,,14395,,,,,,,case rate,,14395,,,,,,,case rate,,10744,,,,,,,case rate,,6988,,,,,,,case rate,,  ,,,,,,,case rate,,10119,,,,,,,case rate,,10119,,,,,,,case rate,,10119,,,,,,,case rate,,10321,,,,,,,case rate,,10119,,,,,,,case rate,,10119,,,,,,,case rate,,10119,,,,,,,case rate,,9411,,,,,,,case rate,,10119,,,,,,,case rate,,10119,,,,,,,case rate,,10119,,,,,,,case rate,,10119,,,,,,,case rate,,10321,,,,,,,case rate,,10827,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6988,14395,
99203 - OFFICE O/P NEW LOW 30-44 MIN,99203,CPT,,both,,,18307,18307,,20229,,,,,,,case rate,,24340,,,,,,,case rate,,19651,,,,,,,case rate,,19651,,,,,,,case rate,,28168,,,,,,,case rate,,28168,,,,,,,case rate,,21025,,,,,,,case rate,,13674,,,,,,,case rate,,  ,,,,,,,case rate,,18499,,,,,,,case rate,,18499,,,,,,,case rate,,18499,,,,,,,case rate,,18869,,,,,,,case rate,,18499,,,,,,,case rate,,18499,,,,,,,case rate,,18499,,,,,,,case rate,,17204,,,,,,,case rate,,18499,,,,,,,case rate,,18499,,,,,,,case rate,,18499,,,,,,,case rate,,18499,,,,,,,case rate,,18869,,,,,,,case rate,,19794,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13674,28168,
99204 - OFFICE O/P NEW MOD 45-59 MIN,99204,CPT,,both,,,471,471,,161,,,,,,,fee schedule,,239,,,,,,,fee schedule,,221,,,,,,,fee schedule,,221,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,264,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,130,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,140,,,,,,,fee schedule,,143,,,,,,,fee schedule,,150,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,233,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,211,,,,,,,fee schedule,,218,,,,,,,fee schedule,,476,,,,,,,fee schedule,,130,841,
99205 - OFFICE O/P NEW HI 60-74 MIN,99205,CPT,,both,,,1251,1251,,93,,,,,,,fee schedule,,315,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,110,,,,,,,fee schedule,,110,,,,,,,fee schedule,,125,,,,,,,fee schedule,,244,,,,,,,fee schedule,,244,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,110,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,100,,,,,,,fee schedule,,103,,,,,,,fee schedule,,225,,,,,,,fee schedule,,93,315,
99211 - OFF/OP EST MAY X REQ PHY/QHP,99211,CPT,,both,,,14399,14399,,11682,,,,,,,case rate,,14056,,,,,,,case rate,,11348,,,,,,,case rate,,11348,,,,,,,case rate,,16267,,,,,,,case rate,,16267,,,,,,,case rate,,12142,,,,,,,case rate,,7897,,,,,,,case rate,,  ,,,,,,,case rate,,11258,,,,,,,case rate,,11258,,,,,,,case rate,,11258,,,,,,,case rate,,11483,,,,,,,case rate,,11258,,,,,,,case rate,,11258,,,,,,,case rate,,11258,,,,,,,case rate,,10470,,,,,,,case rate,,11258,,,,,,,case rate,,11258,,,,,,,case rate,,11258,,,,,,,case rate,,11258,,,,,,,case rate,,11483,,,,,,,case rate,,12046,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7897,16267,
99212 - OFFICE O/P EST SF 10-19 MIN,99212,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
99213 - OFFICE O/P EST LOW 20-29 MIN,99213,CPT,,both,,,13683,13683,,10746,,,,,,,case rate,,12930,,,,,,,case rate,,10439,,,,,,,case rate,,10439,,,,,,,case rate,,14963,,,,,,,case rate,,14963,,,,,,,case rate,,11169,,,,,,,case rate,,7264,,,,,,,case rate,,  ,,,,,,,case rate,,10465,,,,,,,case rate,,10465,,,,,,,case rate,,10465,,,,,,,case rate,,10674,,,,,,,case rate,,10465,,,,,,,case rate,,10465,,,,,,,case rate,,10465,,,,,,,case rate,,9732,,,,,,,case rate,,10465,,,,,,,case rate,,10465,,,,,,,case rate,,10465,,,,,,,case rate,,10465,,,,,,,case rate,,10674,,,,,,,case rate,,11198,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7264,14963,
99214 - OFFICE O/P EST MOD 30-39 MIN,99214,CPT,,both,,,12393,12393,,11619,,,,,,,case rate,,13981,,,,,,,case rate,,11287,,,,,,,case rate,,11287,,,,,,,case rate,,16179,,,,,,,case rate,,16179,,,,,,,case rate,,12076,,,,,,,case rate,,7854,,,,,,,case rate,,  ,,,,,,,case rate,,11205,,,,,,,case rate,,11205,,,,,,,case rate,,11205,,,,,,,case rate,,11429,,,,,,,case rate,,11205,,,,,,,case rate,,11205,,,,,,,case rate,,11205,,,,,,,case rate,,10421,,,,,,,case rate,,11205,,,,,,,case rate,,11205,,,,,,,case rate,,11205,,,,,,,case rate,,11205,,,,,,,case rate,,11429,,,,,,,case rate,,11989,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7854,16179,
99215 - OFFICE O/P EST HI 40-54 MIN,99215,CPT,,both,,,11652,11652,,12295,,,,,,,case rate,,14793,,,,,,,case rate,,11943,,,,,,,case rate,,11943,,,,,,,case rate,,17120,,,,,,,case rate,,17120,,,,,,,case rate,,12778,,,,,,,case rate,,8311,,,,,,,case rate,,  ,,,,,,,case rate,,11777,,,,,,,case rate,,11777,,,,,,,case rate,,11777,,,,,,,case rate,,12013,,,,,,,case rate,,11777,,,,,,,case rate,,11777,,,,,,,case rate,,11777,,,,,,,case rate,,10953,,,,,,,case rate,,11777,,,,,,,case rate,,11777,,,,,,,case rate,,11777,,,,,,,case rate,,11777,,,,,,,case rate,,12013,,,,,,,case rate,,12602,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8311,17120,
99241 - OFFICE CONSULTATION,99241,CPT,,both,,,184337,184337,,70716,,,,,,,case rate,,85087,,,,,,,case rate,,68694,,,,,,,case rate,,68694,,,,,,,case rate,,98470,,,,,,,case rate,,98470,,,,,,,case rate,,73498,,,,,,,case rate,,47801,,,,,,,case rate,,  ,,,,,,,case rate,,61273,,,,,,,case rate,,61273,,,,,,,case rate,,61273,,,,,,,case rate,,62498,,,,,,,case rate,,61273,,,,,,,case rate,,61273,,,,,,,case rate,,61273,,,,,,,case rate,,56984,,,,,,,case rate,,61273,,,,,,,case rate,,61273,,,,,,,case rate,,61273,,,,,,,case rate,,61273,,,,,,,case rate,,62498,,,,,,,case rate,,65562,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,47801,98470,
99242 - OFF/OP CONSLTJ NEW/EST SF 20,99242,CPT,,both,,,10116,10116,,11280,,,,,,,case rate,,13572,,,,,,,case rate,,10957,,,,,,,case rate,,10957,,,,,,,case rate,,15707,,,,,,,case rate,,15707,,,,,,,case rate,,11724,,,,,,,case rate,,7625,,,,,,,case rate,,  ,,,,,,,case rate,,10917,,,,,,,case rate,,10917,,,,,,,case rate,,10917,,,,,,,case rate,,11136,,,,,,,case rate,,10917,,,,,,,case rate,,10917,,,,,,,case rate,,10917,,,,,,,case rate,,10153,,,,,,,case rate,,10917,,,,,,,case rate,,10917,,,,,,,case rate,,10917,,,,,,,case rate,,10917,,,,,,,case rate,,11136,,,,,,,case rate,,11682,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7625,15707,
99243 - OFF/OP CNSLTJ NEW/EST LOW 30,99243,CPT,,both,,,229,229,,133,,,,,,,fee schedule,,180,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,119,,,,,,,fee schedule,,119,,,,,,,fee schedule,,68,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,1,180,
99244 - OFF/OP CNSLTJ NEW/EST MOD 40,99244,CPT,,both,,,36807,36807,,20260,,,,,,,case rate,,24378,,,,,,,case rate,,19681,,,,,,,case rate,,19681,,,,,,,case rate,,28212,,,,,,,case rate,,28212,,,,,,,case rate,,21057,,,,,,,case rate,,13695,,,,,,,case rate,,  ,,,,,,,case rate,,18526,,,,,,,case rate,,18526,,,,,,,case rate,,18526,,,,,,,case rate,,18896,,,,,,,case rate,,18526,,,,,,,case rate,,18526,,,,,,,case rate,,18526,,,,,,,case rate,,17229,,,,,,,case rate,,18526,,,,,,,case rate,,18526,,,,,,,case rate,,18526,,,,,,,case rate,,18526,,,,,,,case rate,,18896,,,,,,,case rate,,19823,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13695,28212,
99245 - OFF/OP CONSLTJ NEW/EST HI 55,99245,CPT,,both,,,18223,18223,,15040,,,,,,,case rate,,18097,,,,,,,case rate,,14610,,,,,,,case rate,,14610,,,,,,,case rate,,20943,,,,,,,case rate,,20943,,,,,,,case rate,,15632,,,,,,,case rate,,10167,,,,,,,case rate,,  ,,,,,,,case rate,,14103,,,,,,,case rate,,14103,,,,,,,case rate,,14103,,,,,,,case rate,,14385,,,,,,,case rate,,14103,,,,,,,case rate,,14103,,,,,,,case rate,,14103,,,,,,,case rate,,13116,,,,,,,case rate,,14103,,,,,,,case rate,,14103,,,,,,,case rate,,14103,,,,,,,case rate,,14103,,,,,,,case rate,,14385,,,,,,,case rate,,15091,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10167,20943,
99281 - EMR DPT VST MAYX REQ PHY/QHP,99281,CPT,,both,,,436,436,,32,,,,,,,fee schedule,,874,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,,,,,,,,fee schedule,,892,,,,,,,fee schedule,,803,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,32,1351,
99282 - EMERGENCY DEPT VISIT SF MDM,99282,CPT,,both,,,436,436,,62,,,,,,,fee schedule,,874,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,47,,,,,,,fee schedule,,892,,,,,,,fee schedule,,803,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,42,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,39,,,,,,,fee schedule,,85,,,,,,,fee schedule,,38,1351,
99283 - EMERGENCY DEPT VISIT LOW MDM,99283,CPT,,both,,,436,436,,74,,,,,,,fee schedule,,874,,,,,,,fee schedule,,102,,,,,,,fee schedule,,102,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,,,,,,,,fee schedule,,892,,,,,,,fee schedule,,803,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,60,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,65,,,,,,,fee schedule,,66,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,60,1351,
99284 - EMERGENCY DEPT VISIT MOD MDM,99284,CPT,,both,,,626,626,,78,,,,,,,fee schedule,,874,,,,,,,fee schedule,,504,,,,,,,fee schedule,,504,,,,,,,fee schedule,,849,,,,,,,fee schedule,,849,,,,,,,fee schedule,,923,,,,,,,fee schedule,,892,,,,,,,fee schedule,,803,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,297,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,319,,,,,,,fee schedule,,326,,,,,,,fee schedule,,342,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,812,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,738,,,,,,,fee schedule,,760,,,,,,,fee schedule,,1661,,,,,,,fee schedule,,78,1661,
99285 - EMERGENCY DEPT VISIT HI MDM,99285,CPT,,both,,,1410,1410,,299,,,,,,,fee schedule,,1017,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,250,,,,,,,fee schedule,,250,,,,,,,fee schedule,,,,,,,,,fee schedule,,788,,,,,,,fee schedule,,788,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,250,1017,
99291 - CRITICAL CARE FIRST HOUR,99291,CPT,,both,,,539,539,,39,,,,,,,fee schedule,,388,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,86,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,39,388,
99292 - CRITICAL CARE ADDL 30 MIN,99292,CPT,,both,,,1808,1808,,269,,,,,,,fee schedule,,211,,,,,,,fee schedule,,762,,,,,,,fee schedule,,762,,,,,,,fee schedule,,115,,,,,,,fee schedule,,115,,,,,,,fee schedule,,433,,,,,,,fee schedule,,715,,,,,,,fee schedule,,643,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,449,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,483,,,,,,,fee schedule,,493,,,,,,,fee schedule,,517,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,381,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,346,,,,,,,fee schedule,,357,,,,,,,fee schedule,,779,,,,,,,fee schedule,,115,1081,
99342 - HOME/RES VST NEW LOW MDM 30,99342,CPT,,both,,,3491,3491,,320,,,,,,,fee schedule,,154,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,2010,,,,,,,fee schedule,,398,,,,,,,fee schedule,,398,,,,,,,fee schedule,,961,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,1642,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1185,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1274,,,,,,,fee schedule,,1299,,,,,,,fee schedule,,1363,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,845,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,768,,,,,,,fee schedule,,792,,,,,,,fee schedule,,1729,,,,,,,fee schedule,,154,2010,
99344 - HOME/RES VST NEW MOD MDM 60,99344,CPT,,both,,,11767,11767,,15973,,,,,,,case rate,,19220,,,,,,,case rate,,15517,,,,,,,case rate,,15517,,,,,,,case rate,,22243,,,,,,,case rate,,22243,,,,,,,case rate,,16602,,,,,,,case rate,,10797,,,,,,,case rate,,  ,,,,,,,case rate,,14894,,,,,,,case rate,,14894,,,,,,,case rate,,14894,,,,,,,case rate,,15192,,,,,,,case rate,,14894,,,,,,,case rate,,14894,,,,,,,case rate,,14894,,,,,,,case rate,,13851,,,,,,,case rate,,14894,,,,,,,case rate,,14894,,,,,,,case rate,,14894,,,,,,,case rate,,14894,,,,,,,case rate,,15192,,,,,,,case rate,,15936,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10797,22243,
99347 - HOME/RES VST EST SF MDM 20,99347,CPT,,both,,,306,306,,32,,,,,,,fee schedule,,108,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,30,,,,,,,fee schedule,,30,,,,,,,fee schedule,,82,,,,,,,fee schedule,,84,,,,,,,fee schedule,,84,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,30,147,
99348 - HOME/RES VST EST LOW MDM 30,99348,CPT,,both,,,372,372,,60,,,,,,,fee schedule,,156,,,,,,,fee schedule,,183,,,,,,,fee schedule,,183,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,231,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,108,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,116,,,,,,,fee schedule,,118,,,,,,,fee schedule,,124,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,203,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,185,,,,,,,fee schedule,,190,,,,,,,fee schedule,,416,,,,,,,fee schedule,,29,416,
99349 - HOME/RES VST EST MOD MDM 40,99349,CPT,,both,,,180,180,,64,,,,,,,fee schedule,,238,,,,,,,fee schedule,,87,,,,,,,fee schedule,,87,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,154,,,,,,,fee schedule,,176,,,,,,,fee schedule,,159,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,51,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,55,,,,,,,fee schedule,,56,,,,,,,fee schedule,,59,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,36,267,
99350 - HOME/RES VST EST HIGH MDM 60,99350,CPT,,both,,,17266,17266,,15966,,,,,,,case rate,,19210,,,,,,,case rate,,15509,,,,,,,case rate,,15509,,,,,,,case rate,,22232,,,,,,,case rate,,22232,,,,,,,case rate,,16594,,,,,,,case rate,,10792,,,,,,,case rate,,  ,,,,,,,case rate,,14887,,,,,,,case rate,,14887,,,,,,,case rate,,14887,,,,,,,case rate,,15185,,,,,,,case rate,,14887,,,,,,,case rate,,14887,,,,,,,case rate,,14887,,,,,,,case rate,,13845,,,,,,,case rate,,14887,,,,,,,case rate,,14887,,,,,,,case rate,,14887,,,,,,,case rate,,14887,,,,,,,case rate,,15185,,,,,,,case rate,,15929,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10792,22232,
99354 - PROLNG SVC O/P 1ST HOUR,99354,CPT,,both,,,23004,23004,,14946,,,,,,,case rate,,17984,,,,,,,case rate,,14519,,,,,,,case rate,,14519,,,,,,,case rate,,20812,,,,,,,case rate,,20812,,,,,,,case rate,,15534,,,,,,,case rate,,10103,,,,,,,case rate,,  ,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14304,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,13042,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14304,,,,,,,case rate,,15005,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10103,20812,
99381 - INIT PM E/M NEW PAT INFANT,99381,CPT,,both,,,15388,15388,,13336,,,,,,,case rate,,16046,,,,,,,case rate,,12955,,,,,,,case rate,,12955,,,,,,,case rate,,18570,,,,,,,case rate,,18570,,,,,,,case rate,,13861,,,,,,,case rate,,9015,,,,,,,case rate,,  ,,,,,,,case rate,,12659,,,,,,,case rate,,12659,,,,,,,case rate,,12659,,,,,,,case rate,,12913,,,,,,,case rate,,12659,,,,,,,case rate,,12659,,,,,,,case rate,,12659,,,,,,,case rate,,11773,,,,,,,case rate,,12659,,,,,,,case rate,,12659,,,,,,,case rate,,12659,,,,,,,case rate,,12659,,,,,,,case rate,,12913,,,,,,,case rate,,13546,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9015,18570,
99382 - INIT PM E/M NEW PAT 1-4 YRS,99382,CPT,,both,,,16373,16373,,13523,,,,,,,case rate,,16271,,,,,,,case rate,,13136,,,,,,,case rate,,13136,,,,,,,case rate,,18830,,,,,,,case rate,,18830,,,,,,,case rate,,14055,,,,,,,case rate,,9141,,,,,,,case rate,,  ,,,,,,,case rate,,12818,,,,,,,case rate,,12818,,,,,,,case rate,,12818,,,,,,,case rate,,13074,,,,,,,case rate,,12818,,,,,,,case rate,,12818,,,,,,,case rate,,12818,,,,,,,case rate,,11921,,,,,,,case rate,,12818,,,,,,,case rate,,12818,,,,,,,case rate,,12818,,,,,,,case rate,,12818,,,,,,,case rate,,13074,,,,,,,case rate,,13715,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9141,18830,
99383 - PREV VISIT NEW AGE 5-11,99383,CPT,,both,,,26495,26495,,13433,,,,,,,case rate,,16164,,,,,,,case rate,,13049,,,,,,,case rate,,13049,,,,,,,case rate,,18706,,,,,,,case rate,,18706,,,,,,,case rate,,13962,,,,,,,case rate,,9081,,,,,,,case rate,,  ,,,,,,,case rate,,12742,,,,,,,case rate,,12742,,,,,,,case rate,,12742,,,,,,,case rate,,12997,,,,,,,case rate,,12742,,,,,,,case rate,,12742,,,,,,,case rate,,12742,,,,,,,case rate,,11850,,,,,,,case rate,,12742,,,,,,,case rate,,12742,,,,,,,case rate,,12742,,,,,,,case rate,,12742,,,,,,,case rate,,12997,,,,,,,case rate,,13634,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9081,18706,
99384 - PREV VISIT NEW AGE 12-17,99384,CPT,,both,,,6119,6119,,14755,,,,,,,case rate,,17753,,,,,,,case rate,,14333,,,,,,,case rate,,14333,,,,,,,case rate,,20545,,,,,,,case rate,,20545,,,,,,,case rate,,15335,,,,,,,case rate,,9974,,,,,,,case rate,,  ,,,,,,,case rate,,13861,,,,,,,case rate,,13861,,,,,,,case rate,,13861,,,,,,,case rate,,14138,,,,,,,case rate,,13861,,,,,,,case rate,,13861,,,,,,,case rate,,13861,,,,,,,case rate,,12891,,,,,,,case rate,,13861,,,,,,,case rate,,13861,,,,,,,case rate,,13861,,,,,,,case rate,,13861,,,,,,,case rate,,14138,,,,,,,case rate,,14831,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9974,20545,
99385 - PREV VISIT NEW AGE 18-39,99385,CPT,,both,,,12839,12839,,14742,,,,,,,case rate,,17738,,,,,,,case rate,,14321,,,,,,,case rate,,14321,,,,,,,case rate,,20528,,,,,,,case rate,,20528,,,,,,,case rate,,15322,,,,,,,case rate,,9965,,,,,,,case rate,,  ,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,14128,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,12881,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,13851,,,,,,,case rate,,14128,,,,,,,case rate,,14820,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9965,20528,
99386 - PREV VISIT NEW AGE 40-64,99386,CPT,,both,,,36991,36991,,21963,,,,,,,case rate,,26426,,,,,,,case rate,,21335,,,,,,,case rate,,21335,,,,,,,case rate,,30583,,,,,,,case rate,,30583,,,,,,,case rate,,22827,,,,,,,case rate,,14846,,,,,,,case rate,,  ,,,,,,,case rate,,19968,,,,,,,case rate,,19968,,,,,,,case rate,,19968,,,,,,,case rate,,20368,,,,,,,case rate,,19968,,,,,,,case rate,,19968,,,,,,,case rate,,19968,,,,,,,case rate,,18571,,,,,,,case rate,,19968,,,,,,,case rate,,19968,,,,,,,case rate,,19968,,,,,,,case rate,,19968,,,,,,,case rate,,20368,,,,,,,case rate,,21366,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14846,30583,
99387 - INIT PM E/M NEW PAT 65+ YRS,99387,CPT,,both,,,19234,19234,,15650,,,,,,,case rate,,18830,,,,,,,case rate,,15203,,,,,,,case rate,,15203,,,,,,,case rate,,21792,,,,,,,case rate,,21792,,,,,,,case rate,,16266,,,,,,,case rate,,10579,,,,,,,case rate,,  ,,,,,,,case rate,,14620,,,,,,,case rate,,14620,,,,,,,case rate,,14620,,,,,,,case rate,,14912,,,,,,,case rate,,14620,,,,,,,case rate,,14620,,,,,,,case rate,,14620,,,,,,,case rate,,13596,,,,,,,case rate,,14620,,,,,,,case rate,,14620,,,,,,,case rate,,14620,,,,,,,case rate,,14620,,,,,,,case rate,,14912,,,,,,,case rate,,15643,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10579,21792,
99391 - PER PM REEVAL EST PAT INFANT,99391,CPT,,both,,,38612,38612,,12546,,,,,,,case rate,,15096,,,,,,,case rate,,12187,,,,,,,case rate,,12187,,,,,,,case rate,,17470,,,,,,,case rate,,17470,,,,,,,case rate,,13040,,,,,,,case rate,,8481,,,,,,,case rate,,  ,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,12230,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11151,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,11990,,,,,,,case rate,,12230,,,,,,,case rate,,12829,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8481,17470,
99392 - PREV VISIT EST AGE 1-4,99392,CPT,,both,,,15378,15378,,12742,,,,,,,case rate,,15332,,,,,,,case rate,,12378,,,,,,,case rate,,12378,,,,,,,case rate,,17743,,,,,,,case rate,,17743,,,,,,,case rate,,13244,,,,,,,case rate,,8613,,,,,,,case rate,,  ,,,,,,,case rate,,12156,,,,,,,case rate,,12156,,,,,,,case rate,,12156,,,,,,,case rate,,12400,,,,,,,case rate,,12156,,,,,,,case rate,,12156,,,,,,,case rate,,12156,,,,,,,case rate,,11305,,,,,,,case rate,,12156,,,,,,,case rate,,12156,,,,,,,case rate,,12156,,,,,,,case rate,,12156,,,,,,,case rate,,12400,,,,,,,case rate,,13007,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8613,17743,
99393 - PREV VISIT EST AGE 5-11,99393,CPT,,both,,,29551,29551,,12629,,,,,,,case rate,,15196,,,,,,,case rate,,12268,,,,,,,case rate,,12268,,,,,,,case rate,,17586,,,,,,,case rate,,17586,,,,,,,case rate,,13126,,,,,,,case rate,,8537,,,,,,,case rate,,  ,,,,,,,case rate,,12061,,,,,,,case rate,,12061,,,,,,,case rate,,12061,,,,,,,case rate,,12302,,,,,,,case rate,,12061,,,,,,,case rate,,12061,,,,,,,case rate,,12061,,,,,,,case rate,,11216,,,,,,,case rate,,12061,,,,,,,case rate,,12061,,,,,,,case rate,,12061,,,,,,,case rate,,12061,,,,,,,case rate,,12302,,,,,,,case rate,,12905,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8537,17586,
99394 - PREV VISIT EST AGE 12-17,99394,CPT,,both,,,16413,16413,,12909,,,,,,,case rate,,15532,,,,,,,case rate,,12540,,,,,,,case rate,,12540,,,,,,,case rate,,17975,,,,,,,case rate,,17975,,,,,,,case rate,,13417,,,,,,,case rate,,8726,,,,,,,case rate,,  ,,,,,,,case rate,,12297,,,,,,,case rate,,12297,,,,,,,case rate,,12297,,,,,,,case rate,,12543,,,,,,,case rate,,12297,,,,,,,case rate,,12297,,,,,,,case rate,,12297,,,,,,,case rate,,11437,,,,,,,case rate,,12297,,,,,,,case rate,,12297,,,,,,,case rate,,12297,,,,,,,case rate,,12297,,,,,,,case rate,,12543,,,,,,,case rate,,13158,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8726,17975,
99395 - PREV VISIT EST AGE 18-39,99395,CPT,,both,,,13425,13425,,12915,,,,,,,case rate,,15540,,,,,,,case rate,,12546,,,,,,,case rate,,12546,,,,,,,case rate,,17984,,,,,,,case rate,,17984,,,,,,,case rate,,13423,,,,,,,case rate,,8730,,,,,,,case rate,,  ,,,,,,,case rate,,12303,,,,,,,case rate,,12303,,,,,,,case rate,,12303,,,,,,,case rate,,12549,,,,,,,case rate,,12303,,,,,,,case rate,,12303,,,,,,,case rate,,12303,,,,,,,case rate,,11442,,,,,,,case rate,,12303,,,,,,,case rate,,12303,,,,,,,case rate,,12303,,,,,,,case rate,,12303,,,,,,,case rate,,12549,,,,,,,case rate,,13164,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8730,17984,
99396 - PREV VISIT EST AGE 40-64,99396,CPT,,both,,,18482,18482,,13430,,,,,,,case rate,,16160,,,,,,,case rate,,13046,,,,,,,case rate,,13046,,,,,,,case rate,,18701,,,,,,,case rate,,18701,,,,,,,case rate,,13959,,,,,,,case rate,,9078,,,,,,,case rate,,  ,,,,,,,case rate,,12739,,,,,,,case rate,,12739,,,,,,,case rate,,12739,,,,,,,case rate,,12994,,,,,,,case rate,,12739,,,,,,,case rate,,12739,,,,,,,case rate,,12739,,,,,,,case rate,,11848,,,,,,,case rate,,12739,,,,,,,case rate,,12739,,,,,,,case rate,,12739,,,,,,,case rate,,12739,,,,,,,case rate,,12994,,,,,,,case rate,,13631,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9078,18701,
99397 - PER PM REEVAL EST PAT 65+ YR,99397,CPT,,both,,,15052,15052,,14717,,,,,,,case rate,,17708,,,,,,,case rate,,14296,,,,,,,case rate,,14296,,,,,,,case rate,,20493,,,,,,,case rate,,20493,,,,,,,case rate,,15296,,,,,,,case rate,,9948,,,,,,,case rate,,  ,,,,,,,case rate,,13829,,,,,,,case rate,,13829,,,,,,,case rate,,13829,,,,,,,case rate,,14106,,,,,,,case rate,,13829,,,,,,,case rate,,13829,,,,,,,case rate,,13829,,,,,,,case rate,,12861,,,,,,,case rate,,13829,,,,,,,case rate,,13829,,,,,,,case rate,,13829,,,,,,,case rate,,13829,,,,,,,case rate,,14106,,,,,,,case rate,,14797,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9948,20493,
99401 - PREVENTIVE COUNSELING INDIV,99401,CPT,,both,,,160,160,,14,,,,,,,fee schedule,,47,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,42,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,76,
99402 - PREVENTIVE COUNSELING INDIV,99402,CPT,,both,,,139,139,,59,,,,,,,fee schedule,,97,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,61,,,,,,,fee schedule,,61,,,,,,,fee schedule,,68,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,60,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,56,,,,,,,fee schedule,,123,,,,,,,fee schedule,,54,123,
99403 - PREVENTIVE COUNSELING INDIV,99403,CPT,,both,,,13916,13916,,12811,,,,,,,case rate,,15415,,,,,,,case rate,,12445,,,,,,,case rate,,12445,,,,,,,case rate,,17840,,,,,,,case rate,,17840,,,,,,,case rate,,13315,,,,,,,case rate,,8660,,,,,,,case rate,,  ,,,,,,,case rate,,12215,,,,,,,case rate,,12215,,,,,,,case rate,,12215,,,,,,,case rate,,12459,,,,,,,case rate,,12215,,,,,,,case rate,,12215,,,,,,,case rate,,12215,,,,,,,case rate,,11360,,,,,,,case rate,,12215,,,,,,,case rate,,12215,,,,,,,case rate,,12215,,,,,,,case rate,,12215,,,,,,,case rate,,12459,,,,,,,case rate,,13070,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8660,17840,
99406 - BEHAV CHNG SMOKING 3-10 MIN,99406,CPT,,both,,,69,69,,7,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,42,,,,,,,fee schedule,,19,,,,,,,fee schedule,,19,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,5,76,
99407 - BEHAV CHNG SMOKING > 10 MIN,99407,CPT,,both,,,605,605,,116,,,,,,,fee schedule,,49,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,212,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,49,381,
99417 - PROLNG OP E/M EACH 15 MIN,99417,CPT,,both,,,12415,12415,,9268,,,,,,,case rate,,11151,,,,,,,case rate,,9003,,,,,,,case rate,,9003,,,,,,,case rate,,12905,,,,,,,case rate,,12905,,,,,,,case rate,,9632,,,,,,,case rate,,6265,,,,,,,case rate,,  ,,,,,,,case rate,,9213,,,,,,,case rate,,9213,,,,,,,case rate,,9213,,,,,,,case rate,,9397,,,,,,,case rate,,9213,,,,,,,case rate,,9213,,,,,,,case rate,,9213,,,,,,,case rate,,8568,,,,,,,case rate,,9213,,,,,,,case rate,,9213,,,,,,,case rate,,9213,,,,,,,case rate,,9213,,,,,,,case rate,,9397,,,,,,,case rate,,9858,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6265,12905,
99441 - PHONE E/M PHYS/QHP 5-10 MIN,99441,CPT,,both,,,6,6,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
99442 - PHONE E/M PHYS/QHP 11-20 MIN,99442,CPT,,both,,,17696,17696,,9868,,,,,,,case rate,,11873,,,,,,,case rate,,9586,,,,,,,case rate,,9586,,,,,,,case rate,,13741,,,,,,,case rate,,13741,,,,,,,case rate,,10256,,,,,,,case rate,,6670,,,,,,,case rate,,  ,,,,,,,case rate,,9721,,,,,,,case rate,,9721,,,,,,,case rate,,9721,,,,,,,case rate,,9915,,,,,,,case rate,,9721,,,,,,,case rate,,9721,,,,,,,case rate,,9721,,,,,,,case rate,,9041,,,,,,,case rate,,9721,,,,,,,case rate,,9721,,,,,,,case rate,,9721,,,,,,,case rate,,9721,,,,,,,case rate,,9915,,,,,,,case rate,,10402,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6670,13741,
99443 - PHONE E/M PHYS/QHP 21-30 MIN,99443,CPT,,both,,,10942,10942,,10961,,,,,,,case rate,,13189,,,,,,,case rate,,10648,,,,,,,case rate,,10648,,,,,,,case rate,,15263,,,,,,,case rate,,15263,,,,,,,case rate,,11392,,,,,,,case rate,,7409,,,,,,,case rate,,  ,,,,,,,case rate,,10647,,,,,,,case rate,,10647,,,,,,,case rate,,10647,,,,,,,case rate,,10860,,,,,,,case rate,,10647,,,,,,,case rate,,10647,,,,,,,case rate,,10647,,,,,,,case rate,,9902,,,,,,,case rate,,10647,,,,,,,case rate,,10647,,,,,,,case rate,,10647,,,,,,,case rate,,10647,,,,,,,case rate,,10860,,,,,,,case rate,,11393,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7409,15263,
99483 - ASSMT & CARE PLN PT COG IMP,99483,CPT,,both,,,15060,15060,,17901,,,,,,,case rate,,21539,,,,,,,case rate,,17389,,,,,,,case rate,,17389,,,,,,,case rate,,24926,,,,,,,case rate,,24926,,,,,,,case rate,,18605,,,,,,,case rate,,12100,,,,,,,case rate,,  ,,,,,,,case rate,,16527,,,,,,,case rate,,16527,,,,,,,case rate,,16527,,,,,,,case rate,,16857,,,,,,,case rate,,16527,,,,,,,case rate,,16527,,,,,,,case rate,,16527,,,,,,,case rate,,15370,,,,,,,case rate,,16527,,,,,,,case rate,,16527,,,,,,,case rate,,16527,,,,,,,case rate,,16527,,,,,,,case rate,,16857,,,,,,,case rate,,17684,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12100,24926,
99492 - 1ST PSYC COLLAB CARE MGMT,99492,CPT,,both,,,44569,44569,,15862,,,,,,,case rate,,19086,,,,,,,case rate,,15409,,,,,,,case rate,,15409,,,,,,,case rate,,22087,,,,,,,case rate,,22087,,,,,,,case rate,,16486,,,,,,,case rate,,10722,,,,,,,case rate,,  ,,,,,,,case rate,,14799,,,,,,,case rate,,14799,,,,,,,case rate,,14799,,,,,,,case rate,,15095,,,,,,,case rate,,14799,,,,,,,case rate,,14799,,,,,,,case rate,,14799,,,,,,,case rate,,13763,,,,,,,case rate,,14799,,,,,,,case rate,,14799,,,,,,,case rate,,14799,,,,,,,case rate,,14799,,,,,,,case rate,,15095,,,,,,,case rate,,15835,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10722,22087,
99493 - SBSQ PSYC COLLAB CARE MGMT,99493,CPT,,both,,,23767,23767,,15194,,,,,,,case rate,,18282,,,,,,,case rate,,14760,,,,,,,case rate,,14760,,,,,,,case rate,,21158,,,,,,,case rate,,21158,,,,,,,case rate,,15792,,,,,,,case rate,,10271,,,,,,,case rate,,  ,,,,,,,case rate,,14234,,,,,,,case rate,,14234,,,,,,,case rate,,14234,,,,,,,case rate,,14519,,,,,,,case rate,,14234,,,,,,,case rate,,14234,,,,,,,case rate,,14234,,,,,,,case rate,,13237,,,,,,,case rate,,14234,,,,,,,case rate,,14234,,,,,,,case rate,,14234,,,,,,,case rate,,14234,,,,,,,case rate,,14519,,,,,,,case rate,,15230,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10271,21158,
99494 - 1ST/SBSQ PSYC COLLAB CARE,99494,CPT,,both,,,11732,11732,,12164,,,,,,,case rate,,14636,,,,,,,case rate,,11817,,,,,,,case rate,,11817,,,,,,,case rate,,16938,,,,,,,case rate,,16938,,,,,,,case rate,,12643,,,,,,,case rate,,8223,,,,,,,case rate,,  ,,,,,,,case rate,,11667,,,,,,,case rate,,11667,,,,,,,case rate,,11667,,,,,,,case rate,,11900,,,,,,,case rate,,11667,,,,,,,case rate,,11667,,,,,,,case rate,,11667,,,,,,,case rate,,10850,,,,,,,case rate,,11667,,,,,,,case rate,,11667,,,,,,,case rate,,11667,,,,,,,case rate,,11667,,,,,,,case rate,,11900,,,,,,,case rate,,12483,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8223,16938,
99495 - TRANSJ CARE MGMT MOD F2F 14D,99495,CPT,,both,,,9617,9617,,15849,,,,,,,case rate,,19070,,,,,,,case rate,,15396,,,,,,,case rate,,15396,,,,,,,case rate,,22070,,,,,,,case rate,,22070,,,,,,,case rate,,16473,,,,,,,case rate,,10714,,,,,,,case rate,,  ,,,,,,,case rate,,14789,,,,,,,case rate,,14789,,,,,,,case rate,,14789,,,,,,,case rate,,15085,,,,,,,case rate,,14789,,,,,,,case rate,,14789,,,,,,,case rate,,14789,,,,,,,case rate,,13754,,,,,,,case rate,,14789,,,,,,,case rate,,14789,,,,,,,case rate,,14789,,,,,,,case rate,,14789,,,,,,,case rate,,15085,,,,,,,case rate,,15824,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10714,22070,
99496 - TRANSJ CARE MGMT HIGH F2F 7D,99496,CPT,,both,,,17442,17442,,17310,,,,,,,case rate,,20828,,,,,,,case rate,,16815,,,,,,,case rate,,16815,,,,,,,case rate,,24104,,,,,,,case rate,,24104,,,,,,,case rate,,17991,,,,,,,case rate,,11701,,,,,,,case rate,,  ,,,,,,,case rate,,16026,,,,,,,case rate,,16026,,,,,,,case rate,,16026,,,,,,,case rate,,16347,,,,,,,case rate,,16026,,,,,,,case rate,,16026,,,,,,,case rate,,16026,,,,,,,case rate,,14905,,,,,,,case rate,,16026,,,,,,,case rate,,16026,,,,,,,case rate,,16026,,,,,,,case rate,,16026,,,,,,,case rate,,16347,,,,,,,case rate,,17148,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11701,24104,
99497 - ADVNCD CARE PLAN 30 MIN,99497,CPT,,both,,,12370,12370,,13232,,,,,,,case rate,,15922,,,,,,,case rate,,12854,,,,,,,case rate,,12854,,,,,,,case rate,,18426,,,,,,,case rate,,18426,,,,,,,case rate,,13753,,,,,,,case rate,,8945,,,,,,,case rate,,  ,,,,,,,case rate,,12572,,,,,,,case rate,,12572,,,,,,,case rate,,12572,,,,,,,case rate,,12823,,,,,,,case rate,,12572,,,,,,,case rate,,12572,,,,,,,case rate,,12572,,,,,,,case rate,,11692,,,,,,,case rate,,12572,,,,,,,case rate,,12572,,,,,,,case rate,,12572,,,,,,,case rate,,12572,,,,,,,case rate,,12823,,,,,,,case rate,,13452,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8945,18426,
"A4561 - PESSA RY, RUBBER, ANY TYPE",A4561,CPT,,both,,,179,179,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,80,,,,,,,fee schedule,,80,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,47,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,54,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,40,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,6,83,
A9500 - TC 99M SESTAMIBI STUDY DOSE,A9500,CPT,,both,,,3,3,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,5,
A9503 - TC-99M DIPHOSPHONATE (MDP),A9503,CPT,,both,,,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,156,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,138,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,129,,,,,,,fee schedule,,281,,,,,,,fee schedule,,1,281,
A9528 - I-131 WHOLE BODY (2MCI),A9528,CPT,,both,,,426,426,,  ,,,,,,,fee schedule,,201,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,201,201,
A9531 - IODINE I-131UPTAKE UPTO 100M,A9531,CPT,,both,,,3,3,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1177,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,1036,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,942,,,,,,,fee schedule,,970,,,,,,,fee schedule,,2119,,,,,,,fee schedule,,1,2119,
A9537 - MEBROFENIN,A9537,CPT,,both,,,2,2,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,2,
A9539 - TECHNESCAN PYP,A9539,CPT,,both,,,19,19,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
A9541 - SULFUR COLLOID,A9541,CPT,,both,,,6,6,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
A9562 - MAG 3 DOSE,A9562,CPT,,both,,,328,328,,4,,,,,,,fee schedule,,31,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,4,76,
A9572 - IN-111 PENTETREOTIDE <= 6 MCI,A9572,CPT,,both,,,320,320,,154,,,,,,,fee schedule,,232,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,153,,,,,,,fee schedule,,153,,,,,,,fee schedule,,112,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,99,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,90,,,,,,,fee schedule,,93,,,,,,,fee schedule,,202,,,,,,,fee schedule,,1,232,
A9579 - TC 99M DEPREOTIDE/SD <=35MCI,A9579,CPT,,both,,,4,4,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,3,
Abdominal pain,251,APR-DRG,,inpatient,,,4402,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4402,,,,,,,case rate,,5987,,,,,,,case rate,,4402,,,,,,,case rate,,4402,,,,,,,case rate,,4402,,,,,,,case rate,,5062,,,,,,,case rate,,4842,,,,,,,case rate,,4270,,,,,,,case rate,,4402,,,,,,,case rate,,4402,,,,,,,case rate,,4534,,,,,,,case rate,,9905,,,,,,,case rate,,4270,9905,
Abdominal pain,251,APR-DRG,,inpatient,,,5827,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5827,,,,,,,case rate,,7924,,,,,,,case rate,,5827,,,,,,,case rate,,5827,,,,,,,case rate,,5827,,,,,,,case rate,,6701,,,,,,,case rate,,6409,,,,,,,case rate,,5652,,,,,,,case rate,,5827,,,,,,,case rate,,5827,,,,,,,case rate,,6001,,,,,,,case rate,,13110,,,,,,,case rate,,5652,13110,
Abdominal pain,251,APR-DRG,,inpatient,,,8710,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8710,,,,,,,case rate,,11845,,,,,,,case rate,,8710,,,,,,,case rate,,8710,,,,,,,case rate,,8710,,,,,,,case rate,,10016,,,,,,,case rate,,9581,,,,,,,case rate,,8448,,,,,,,case rate,,8710,,,,,,,case rate,,8710,,,,,,,case rate,,8971,,,,,,,case rate,,19597,,,,,,,case rate,,8448,19597,
Abdominal pain,251,APR-DRG,,inpatient,,,19901,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19901,,,,,,,case rate,,27066,,,,,,,case rate,,19901,,,,,,,case rate,,19901,,,,,,,case rate,,19901,,,,,,,case rate,,22886,,,,,,,case rate,,21891,,,,,,,case rate,,19304,,,,,,,case rate,,19901,,,,,,,case rate,,19901,,,,,,,case rate,,20498,,,,,,,case rate,,44778,,,,,,,case rate,,19304,44778,
"Abortion w/o D&C, aspiration curettage or hysterotomy",564,APR-DRG,,inpatient,,,3750,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3750,,,,,,,case rate,,5101,,,,,,,case rate,,3750,,,,,,,case rate,,3750,,,,,,,case rate,,3750,,,,,,,case rate,,4313,,,,,,,case rate,,4125,,,,,,,case rate,,3638,,,,,,,case rate,,3750,,,,,,,case rate,,3750,,,,,,,case rate,,3863,,,,,,,case rate,,8438,,,,,,,case rate,,3638,8438,
"Abortion w/o D&C, aspiration curettage or hysterotomy",564,APR-DRG,,inpatient,,,4340,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4340,,,,,,,case rate,,5903,,,,,,,case rate,,4340,,,,,,,case rate,,4340,,,,,,,case rate,,4340,,,,,,,case rate,,4991,,,,,,,case rate,,4774,,,,,,,case rate,,4210,,,,,,,case rate,,4340,,,,,,,case rate,,4340,,,,,,,case rate,,4471,,,,,,,case rate,,9766,,,,,,,case rate,,4210,9766,
"Abortion w/o D&C, aspiration curettage or hysterotomy",564,APR-DRG,,inpatient,,,6202,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6202,,,,,,,case rate,,8434,,,,,,,case rate,,6202,,,,,,,case rate,,6202,,,,,,,case rate,,6202,,,,,,,case rate,,7132,,,,,,,case rate,,6822,,,,,,,case rate,,6016,,,,,,,case rate,,6202,,,,,,,case rate,,6202,,,,,,,case rate,,6388,,,,,,,case rate,,13954,,,,,,,case rate,,6016,13954,
"Abortion w/o D&C, aspiration curettage or hysterotomy",564,APR-DRG,,inpatient,,,7455,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7455,,,,,,,case rate,,10138,,,,,,,case rate,,7455,,,,,,,case rate,,7455,,,,,,,case rate,,7455,,,,,,,case rate,,8573,,,,,,,case rate,,8200,,,,,,,case rate,,7231,,,,,,,case rate,,7455,,,,,,,case rate,,7455,,,,,,,case rate,,7678,,,,,,,case rate,,16773,,,,,,,case rate,,7231,16773,
Acute & subacute endocarditis,193,APR-DRG,,inpatient,,,10605,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10605,,,,,,,case rate,,14423,,,,,,,case rate,,10605,,,,,,,case rate,,10605,,,,,,,case rate,,10605,,,,,,,case rate,,12196,,,,,,,case rate,,11665,,,,,,,case rate,,10287,,,,,,,case rate,,10605,,,,,,,case rate,,10605,,,,,,,case rate,,10923,,,,,,,case rate,,23861,,,,,,,case rate,,10287,23861,
Acute & subacute endocarditis,193,APR-DRG,,inpatient,,,14164,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14164,,,,,,,case rate,,19263,,,,,,,case rate,,14164,,,,,,,case rate,,14164,,,,,,,case rate,,14164,,,,,,,case rate,,16289,,,,,,,case rate,,15581,,,,,,,case rate,,13739,,,,,,,case rate,,14164,,,,,,,case rate,,14164,,,,,,,case rate,,14589,,,,,,,case rate,,31869,,,,,,,case rate,,13739,31869,
Acute & subacute endocarditis,193,APR-DRG,,inpatient,,,22131,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22131,,,,,,,case rate,,30098,,,,,,,case rate,,22131,,,,,,,case rate,,22131,,,,,,,case rate,,22131,,,,,,,case rate,,25450,,,,,,,case rate,,24344,,,,,,,case rate,,21467,,,,,,,case rate,,22131,,,,,,,case rate,,22131,,,,,,,case rate,,22795,,,,,,,case rate,,49794,,,,,,,case rate,,21467,49794,
Acute & subacute endocarditis,193,APR-DRG,,inpatient,,,45883,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,45883,,,,,,,case rate,,62401,,,,,,,case rate,,45883,,,,,,,case rate,,45883,,,,,,,case rate,,45883,,,,,,,case rate,,52766,,,,,,,case rate,,50471,,,,,,,case rate,,44507,,,,,,,case rate,,45883,,,,,,,case rate,,45883,,,,,,,case rate,,47260,,,,,,,case rate,,103237,,,,,,,case rate,,44507,103237,
Acute anxiety & delirium states,756,APR-DRG,,inpatient,,,4688,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4688,,,,,,,case rate,,6375,,,,,,,case rate,,4688,,,,,,,case rate,,4688,,,,,,,case rate,,4688,,,,,,,case rate,,5391,,,,,,,case rate,,5157,,,,,,,case rate,,4547,,,,,,,case rate,,4688,,,,,,,case rate,,4688,,,,,,,case rate,,4828,,,,,,,case rate,,10548,,,,,,,case rate,,4547,10548,
Acute anxiety & delirium states,756,APR-DRG,,inpatient,,,6063,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6063,,,,,,,case rate,,8246,,,,,,,case rate,,6063,,,,,,,case rate,,6063,,,,,,,case rate,,6063,,,,,,,case rate,,6972,,,,,,,case rate,,6669,,,,,,,case rate,,5881,,,,,,,case rate,,6063,,,,,,,case rate,,6063,,,,,,,case rate,,6245,,,,,,,case rate,,13642,,,,,,,case rate,,5881,13642,
Acute anxiety & delirium states,756,APR-DRG,,inpatient,,,9201,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9201,,,,,,,case rate,,12513,,,,,,,case rate,,9201,,,,,,,case rate,,9201,,,,,,,case rate,,9201,,,,,,,case rate,,10581,,,,,,,case rate,,10121,,,,,,,case rate,,8925,,,,,,,case rate,,9201,,,,,,,case rate,,9201,,,,,,,case rate,,9477,,,,,,,case rate,,20702,,,,,,,case rate,,8925,20702,
Acute anxiety & delirium states,756,APR-DRG,,inpatient,,,9230,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9230,,,,,,,case rate,,12552,,,,,,,case rate,,9230,,,,,,,case rate,,9230,,,,,,,case rate,,9230,,,,,,,case rate,,10614,,,,,,,case rate,,10153,,,,,,,case rate,,8953,,,,,,,case rate,,9230,,,,,,,case rate,,9230,,,,,,,case rate,,9507,,,,,,,case rate,,20767,,,,,,,case rate,,8953,20767,
Acute Kidney Injury #,469,APR-DRG,,inpatient,,,5411,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5411,,,,,,,case rate,,7359,,,,,,,case rate,,5411,,,,,,,case rate,,5411,,,,,,,case rate,,5411,,,,,,,case rate,,6223,,,,,,,case rate,,5953,,,,,,,case rate,,5249,,,,,,,case rate,,5411,,,,,,,case rate,,5411,,,,,,,case rate,,5574,,,,,,,case rate,,12176,,,,,,,case rate,,5249,12176,
Acute Kidney Injury #,469,APR-DRG,,inpatient,,,7652,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7652,,,,,,,case rate,,10407,,,,,,,case rate,,7652,,,,,,,case rate,,7652,,,,,,,case rate,,7652,,,,,,,case rate,,8800,,,,,,,case rate,,8417,,,,,,,case rate,,7422,,,,,,,case rate,,7652,,,,,,,case rate,,7652,,,,,,,case rate,,7882,,,,,,,case rate,,17217,,,,,,,case rate,,7422,17217,
Acute Kidney Injury #,469,APR-DRG,,inpatient,,,13960,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13960,,,,,,,case rate,,18985,,,,,,,case rate,,13960,,,,,,,case rate,,13960,,,,,,,case rate,,13960,,,,,,,case rate,,16054,,,,,,,case rate,,15356,,,,,,,case rate,,13541,,,,,,,case rate,,13960,,,,,,,case rate,,13960,,,,,,,case rate,,14378,,,,,,,case rate,,31409,,,,,,,case rate,,13541,31409,
Acute Kidney Injury #,469,APR-DRG,,inpatient,,,33931,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33931,,,,,,,case rate,,46146,,,,,,,case rate,,33931,,,,,,,case rate,,33931,,,,,,,case rate,,33931,,,,,,,case rate,,39020,,,,,,,case rate,,37324,,,,,,,case rate,,32913,,,,,,,case rate,,33931,,,,,,,case rate,,33931,,,,,,,case rate,,34949,,,,,,,case rate,,76344,,,,,,,case rate,,32913,76344,
Acute leukemia,690,APR-DRG,,inpatient,,,13739,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13739,,,,,,,case rate,,18684,,,,,,,case rate,,13739,,,,,,,case rate,,13739,,,,,,,case rate,,13739,,,,,,,case rate,,15799,,,,,,,case rate,,15112,,,,,,,case rate,,13326,,,,,,,case rate,,13739,,,,,,,case rate,,13739,,,,,,,case rate,,14151,,,,,,,case rate,,30912,,,,,,,case rate,,13326,30912,
Acute leukemia,690,APR-DRG,,inpatient,,,27943,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27943,,,,,,,case rate,,38002,,,,,,,case rate,,27943,,,,,,,case rate,,27943,,,,,,,case rate,,27943,,,,,,,case rate,,32134,,,,,,,case rate,,30737,,,,,,,case rate,,27105,,,,,,,case rate,,27943,,,,,,,case rate,,27943,,,,,,,case rate,,28781,,,,,,,case rate,,62871,,,,,,,case rate,,27105,62871,
Acute leukemia,690,APR-DRG,,inpatient,,,62314,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62314,,,,,,,case rate,,84748,,,,,,,case rate,,62314,,,,,,,case rate,,62314,,,,,,,case rate,,62314,,,,,,,case rate,,71662,,,,,,,case rate,,68546,,,,,,,case rate,,60445,,,,,,,case rate,,62314,,,,,,,case rate,,62314,,,,,,,case rate,,64184,,,,,,,case rate,,140208,,,,,,,case rate,,60445,140208,
Acute leukemia,690,APR-DRG,,inpatient,,,89964,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,89964,,,,,,,case rate,,122352,,,,,,,case rate,,89964,,,,,,,case rate,,89964,,,,,,,case rate,,89964,,,,,,,case rate,,103459,,,,,,,case rate,,98961,,,,,,,case rate,,87265,,,,,,,case rate,,89964,,,,,,,case rate,,89964,,,,,,,case rate,,92663,,,,,,,case rate,,202420,,,,,,,case rate,,87265,202420,
Acute major eye infections,80,APR-DRG,,inpatient,,,5650,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5650,,,,,,,case rate,,7684,,,,,,,case rate,,5650,,,,,,,case rate,,5650,,,,,,,case rate,,5650,,,,,,,case rate,,6497,,,,,,,case rate,,6215,,,,,,,case rate,,5480,,,,,,,case rate,,5650,,,,,,,case rate,,5650,,,,,,,case rate,,5819,,,,,,,case rate,,12712,,,,,,,case rate,,5480,12712,
Acute major eye infections,80,APR-DRG,,inpatient,,,7218,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7218,,,,,,,case rate,,9817,,,,,,,case rate,,7218,,,,,,,case rate,,7218,,,,,,,case rate,,7218,,,,,,,case rate,,8301,,,,,,,case rate,,7940,,,,,,,case rate,,7002,,,,,,,case rate,,7218,,,,,,,case rate,,7218,,,,,,,case rate,,7435,,,,,,,case rate,,16241,,,,,,,case rate,,7002,16241,
Acute major eye infections,80,APR-DRG,,inpatient,,,12449,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12449,,,,,,,case rate,,16930,,,,,,,case rate,,12449,,,,,,,case rate,,12449,,,,,,,case rate,,12449,,,,,,,case rate,,14316,,,,,,,case rate,,13694,,,,,,,case rate,,12075,,,,,,,case rate,,12449,,,,,,,case rate,,12449,,,,,,,case rate,,12822,,,,,,,case rate,,28010,,,,,,,case rate,,12075,28010,
Acute major eye infections,80,APR-DRG,,inpatient,,,13896,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13896,,,,,,,case rate,,18898,,,,,,,case rate,,13896,,,,,,,case rate,,13896,,,,,,,case rate,,13896,,,,,,,case rate,,15980,,,,,,,case rate,,15285,,,,,,,case rate,,13479,,,,,,,case rate,,13896,,,,,,,case rate,,13896,,,,,,,case rate,,14313,,,,,,,case rate,,31266,,,,,,,case rate,,13479,31266,
Acute myocardial infarction,190,APR-DRG,,inpatient,,,7562,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7562,,,,,,,case rate,,10284,,,,,,,case rate,,7562,,,,,,,case rate,,7562,,,,,,,case rate,,7562,,,,,,,case rate,,8696,,,,,,,case rate,,8318,,,,,,,case rate,,7335,,,,,,,case rate,,7562,,,,,,,case rate,,7562,,,,,,,case rate,,7788,,,,,,,case rate,,17013,,,,,,,case rate,,7335,17013,
Acute myocardial infarction,190,APR-DRG,,inpatient,,,9849,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9849,,,,,,,case rate,,13395,,,,,,,case rate,,9849,,,,,,,case rate,,9849,,,,,,,case rate,,9849,,,,,,,case rate,,11327,,,,,,,case rate,,10834,,,,,,,case rate,,9554,,,,,,,case rate,,9849,,,,,,,case rate,,9849,,,,,,,case rate,,10145,,,,,,,case rate,,22161,,,,,,,case rate,,9554,22161,
Acute myocardial infarction,190,APR-DRG,,inpatient,,,14911,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14911,,,,,,,case rate,,20279,,,,,,,case rate,,14911,,,,,,,case rate,,14911,,,,,,,case rate,,14911,,,,,,,case rate,,17148,,,,,,,case rate,,16402,,,,,,,case rate,,14464,,,,,,,case rate,,14911,,,,,,,case rate,,14911,,,,,,,case rate,,15359,,,,,,,case rate,,33550,,,,,,,case rate,,14464,33550,
Acute myocardial infarction,190,APR-DRG,,inpatient,,,28914,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28914,,,,,,,case rate,,39323,,,,,,,case rate,,28914,,,,,,,case rate,,28914,,,,,,,case rate,,28914,,,,,,,case rate,,33251,,,,,,,case rate,,31805,,,,,,,case rate,,28047,,,,,,,case rate,,28914,,,,,,,case rate,,28914,,,,,,,case rate,,29781,,,,,,,case rate,,65057,,,,,,,case rate,,28047,65057,
Adjustment disorders & neuroses except depressive diagnoses,755,APR-DRG,,inpatient,,,5245,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5245,,,,,,,case rate,,7133,,,,,,,case rate,,5245,,,,,,,case rate,,5245,,,,,,,case rate,,5245,,,,,,,case rate,,6032,,,,,,,case rate,,5769,,,,,,,case rate,,5088,,,,,,,case rate,,5245,,,,,,,case rate,,5245,,,,,,,case rate,,5402,,,,,,,case rate,,11801,,,,,,,case rate,,5088,11801,
Adjustment disorders & neuroses except depressive diagnoses,755,APR-DRG,,inpatient,,,8291,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8291,,,,,,,case rate,,11276,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,9535,,,,,,,case rate,,9120,,,,,,,case rate,,8043,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,8540,,,,,,,case rate,,18655,,,,,,,case rate,,8043,18655,
Adjustment disorders & neuroses except depressive diagnoses,755,APR-DRG,,inpatient,,,8291,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8291,,,,,,,case rate,,11276,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,9535,,,,,,,case rate,,9120,,,,,,,case rate,,8043,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,8540,,,,,,,case rate,,18655,,,,,,,case rate,,8043,18655,
Adjustment disorders & neuroses except depressive diagnoses,755,APR-DRG,,inpatient,,,8291,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8291,,,,,,,case rate,,11276,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,9535,,,,,,,case rate,,9120,,,,,,,case rate,,8043,,,,,,,case rate,,8291,,,,,,,case rate,,8291,,,,,,,case rate,,8540,,,,,,,case rate,,18655,,,,,,,case rate,,8043,18655,
Alcohol & drug dependence w rehab or rehab/detox therapy,772,APR-DRG,,inpatient,,,10176,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10176,,,,,,,case rate,,13840,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,11703,,,,,,,case rate,,11194,,,,,,,case rate,,9871,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,10482,,,,,,,case rate,,22897,,,,,,,case rate,,9871,22897,
Alcohol & drug dependence w rehab or rehab/detox therapy,772,APR-DRG,,inpatient,,,10176,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10176,,,,,,,case rate,,13840,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,11703,,,,,,,case rate,,11194,,,,,,,case rate,,9871,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,10482,,,,,,,case rate,,22897,,,,,,,case rate,,9871,22897,
Alcohol & drug dependence w rehab or rehab/detox therapy,772,APR-DRG,,inpatient,,,10176,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10176,,,,,,,case rate,,13840,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,11703,,,,,,,case rate,,11194,,,,,,,case rate,,9871,,,,,,,case rate,,10176,,,,,,,case rate,,10176,,,,,,,case rate,,10482,,,,,,,case rate,,22897,,,,,,,case rate,,9871,22897,
Alcohol & drug dependence w rehab or rehab/detox therapy,772,APR-DRG,,inpatient,,,11207,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11207,,,,,,,case rate,,15242,,,,,,,case rate,,11207,,,,,,,case rate,,11207,,,,,,,case rate,,11207,,,,,,,case rate,,12888,,,,,,,case rate,,12328,,,,,,,case rate,,10871,,,,,,,case rate,,11207,,,,,,,case rate,,11207,,,,,,,case rate,,11543,,,,,,,case rate,,25216,,,,,,,case rate,,10871,25216,
Alcohol abuse & dependence,775,APR-DRG,,inpatient,,,4690,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4690,,,,,,,case rate,,6378,,,,,,,case rate,,4690,,,,,,,case rate,,4690,,,,,,,case rate,,4690,,,,,,,case rate,,5393,,,,,,,case rate,,5159,,,,,,,case rate,,4549,,,,,,,case rate,,4690,,,,,,,case rate,,4690,,,,,,,case rate,,4831,,,,,,,case rate,,10552,,,,,,,case rate,,4549,10552,
Alcohol abuse & dependence,775,APR-DRG,,inpatient,,,6682,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6682,,,,,,,case rate,,9087,,,,,,,case rate,,6682,,,,,,,case rate,,6682,,,,,,,case rate,,6682,,,,,,,case rate,,7684,,,,,,,case rate,,7350,,,,,,,case rate,,6481,,,,,,,case rate,,6682,,,,,,,case rate,,6682,,,,,,,case rate,,6882,,,,,,,case rate,,15034,,,,,,,case rate,,6481,15034,
Alcohol abuse & dependence,775,APR-DRG,,inpatient,,,12667,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12667,,,,,,,case rate,,17227,,,,,,,case rate,,12667,,,,,,,case rate,,12667,,,,,,,case rate,,12667,,,,,,,case rate,,14567,,,,,,,case rate,,13933,,,,,,,case rate,,12287,,,,,,,case rate,,12667,,,,,,,case rate,,12667,,,,,,,case rate,,13047,,,,,,,case rate,,28500,,,,,,,case rate,,12287,28500,
Alcohol abuse & dependence,775,APR-DRG,,inpatient,,,40283,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40283,,,,,,,case rate,,54784,,,,,,,case rate,,40283,,,,,,,case rate,,40283,,,,,,,case rate,,40283,,,,,,,case rate,,46325,,,,,,,case rate,,44311,,,,,,,case rate,,39074,,,,,,,case rate,,40283,,,,,,,case rate,,40283,,,,,,,case rate,,41491,,,,,,,case rate,,90636,,,,,,,case rate,,39074,90636,
Alcoholic liver disease,280,APR-DRG,,inpatient,,,5508,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5508,,,,,,,case rate,,7491,,,,,,,case rate,,5508,,,,,,,case rate,,5508,,,,,,,case rate,,5508,,,,,,,case rate,,6334,,,,,,,case rate,,6059,,,,,,,case rate,,5343,,,,,,,case rate,,5508,,,,,,,case rate,,5508,,,,,,,case rate,,5673,,,,,,,case rate,,12393,,,,,,,case rate,,5343,12393,
Alcoholic liver disease,280,APR-DRG,,inpatient,,,7739,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7739,,,,,,,case rate,,10525,,,,,,,case rate,,7739,,,,,,,case rate,,7739,,,,,,,case rate,,7739,,,,,,,case rate,,8900,,,,,,,case rate,,8513,,,,,,,case rate,,7507,,,,,,,case rate,,7739,,,,,,,case rate,,7739,,,,,,,case rate,,7972,,,,,,,case rate,,17414,,,,,,,case rate,,7507,17414,
Alcoholic liver disease,280,APR-DRG,,inpatient,,,13024,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13024,,,,,,,case rate,,17713,,,,,,,case rate,,13024,,,,,,,case rate,,13024,,,,,,,case rate,,13024,,,,,,,case rate,,14978,,,,,,,case rate,,14327,,,,,,,case rate,,12634,,,,,,,case rate,,13024,,,,,,,case rate,,13024,,,,,,,case rate,,13415,,,,,,,case rate,,29305,,,,,,,case rate,,12634,29305,
Alcoholic liver disease,280,APR-DRG,,inpatient,,,35072,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35072,,,,,,,case rate,,47697,,,,,,,case rate,,35072,,,,,,,case rate,,35072,,,,,,,case rate,,35072,,,,,,,case rate,,40332,,,,,,,case rate,,38579,,,,,,,case rate,,34019,,,,,,,case rate,,35072,,,,,,,case rate,,35072,,,,,,,case rate,,36124,,,,,,,case rate,,78911,,,,,,,case rate,,34019,78911,
Allergic reactions,811,APR-DRG,,inpatient,,,3484,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3484,,,,,,,case rate,,4739,,,,,,,case rate,,3484,,,,,,,case rate,,3484,,,,,,,case rate,,3484,,,,,,,case rate,,4007,,,,,,,case rate,,3833,,,,,,,case rate,,3380,,,,,,,case rate,,3484,,,,,,,case rate,,3484,,,,,,,case rate,,3589,,,,,,,case rate,,7840,,,,,,,case rate,,3380,7840,
Allergic reactions,811,APR-DRG,,inpatient,,,4851,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4851,,,,,,,case rate,,6598,,,,,,,case rate,,4851,,,,,,,case rate,,4851,,,,,,,case rate,,4851,,,,,,,case rate,,5579,,,,,,,case rate,,5336,,,,,,,case rate,,4706,,,,,,,case rate,,4851,,,,,,,case rate,,4851,,,,,,,case rate,,4997,,,,,,,case rate,,10915,,,,,,,case rate,,4706,10915,
Allergic reactions,811,APR-DRG,,inpatient,,,10765,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10765,,,,,,,case rate,,14641,,,,,,,case rate,,10765,,,,,,,case rate,,10765,,,,,,,case rate,,10765,,,,,,,case rate,,12380,,,,,,,case rate,,11842,,,,,,,case rate,,10442,,,,,,,case rate,,10765,,,,,,,case rate,,10765,,,,,,,case rate,,11088,,,,,,,case rate,,24222,,,,,,,case rate,,10442,24222,
Allergic reactions,811,APR-DRG,,inpatient,,,24268,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24268,,,,,,,case rate,,33005,,,,,,,case rate,,24268,,,,,,,case rate,,24268,,,,,,,case rate,,24268,,,,,,,case rate,,27909,,,,,,,case rate,,26695,,,,,,,case rate,,23540,,,,,,,case rate,,24268,,,,,,,case rate,,24268,,,,,,,case rate,,24996,,,,,,,case rate,,54604,,,,,,,case rate,,23540,54604,
Amputation of lower limb except toes,305,APR-DRG,,inpatient,,,13990,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13990,,,,,,,case rate,,19027,,,,,,,case rate,,13990,,,,,,,case rate,,13990,,,,,,,case rate,,13990,,,,,,,case rate,,16089,,,,,,,case rate,,15389,,,,,,,case rate,,13571,,,,,,,case rate,,13990,,,,,,,case rate,,13990,,,,,,,case rate,,14410,,,,,,,case rate,,31478,,,,,,,case rate,,13571,31478,
Amputation of lower limb except toes,305,APR-DRG,,inpatient,,,19704,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19704,,,,,,,case rate,,26797,,,,,,,case rate,,19704,,,,,,,case rate,,19704,,,,,,,case rate,,19704,,,,,,,case rate,,22660,,,,,,,case rate,,21674,,,,,,,case rate,,19113,,,,,,,case rate,,19704,,,,,,,case rate,,19704,,,,,,,case rate,,20295,,,,,,,case rate,,44334,,,,,,,case rate,,19113,44334,
Amputation of lower limb except toes,305,APR-DRG,,inpatient,,,34759,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34759,,,,,,,case rate,,47272,,,,,,,case rate,,34759,,,,,,,case rate,,34759,,,,,,,case rate,,34759,,,,,,,case rate,,39973,,,,,,,case rate,,38235,,,,,,,case rate,,33716,,,,,,,case rate,,34759,,,,,,,case rate,,34759,,,,,,,case rate,,35802,,,,,,,case rate,,78208,,,,,,,case rate,,33716,78208,
Amputation of lower limb except toes,305,APR-DRG,,inpatient,,,64770,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64770,,,,,,,case rate,,88087,,,,,,,case rate,,64770,,,,,,,case rate,,64770,,,,,,,case rate,,64770,,,,,,,case rate,,74485,,,,,,,case rate,,71247,,,,,,,case rate,,62827,,,,,,,case rate,,64770,,,,,,,case rate,,64770,,,,,,,case rate,,66713,,,,,,,case rate,,145732,,,,,,,case rate,,62827,145732,
Anal procedures,226,APR-DRG,,inpatient,,,6361,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6361,,,,,,,case rate,,8651,,,,,,,case rate,,6361,,,,,,,case rate,,6361,,,,,,,case rate,,6361,,,,,,,case rate,,7315,,,,,,,case rate,,6997,,,,,,,case rate,,6170,,,,,,,case rate,,6361,,,,,,,case rate,,6361,,,,,,,case rate,,6552,,,,,,,case rate,,14312,,,,,,,case rate,,6170,14312,
Anal procedures,226,APR-DRG,,inpatient,,,9075,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9075,,,,,,,case rate,,12343,,,,,,,case rate,,9075,,,,,,,case rate,,9075,,,,,,,case rate,,9075,,,,,,,case rate,,10437,,,,,,,case rate,,9983,,,,,,,case rate,,8803,,,,,,,case rate,,9075,,,,,,,case rate,,9075,,,,,,,case rate,,9348,,,,,,,case rate,,20420,,,,,,,case rate,,8803,20420,
Anal procedures,226,APR-DRG,,inpatient,,,15401,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15401,,,,,,,case rate,,20945,,,,,,,case rate,,15401,,,,,,,case rate,,15401,,,,,,,case rate,,15401,,,,,,,case rate,,17711,,,,,,,case rate,,16941,,,,,,,case rate,,14939,,,,,,,case rate,,15401,,,,,,,case rate,,15401,,,,,,,case rate,,15863,,,,,,,case rate,,34651,,,,,,,case rate,,14939,34651,
Anal procedures,226,APR-DRG,,inpatient,,,37298,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37298,,,,,,,case rate,,50725,,,,,,,case rate,,37298,,,,,,,case rate,,37298,,,,,,,case rate,,37298,,,,,,,case rate,,42893,,,,,,,case rate,,41028,,,,,,,case rate,,36179,,,,,,,case rate,,37298,,,,,,,case rate,,37298,,,,,,,case rate,,38417,,,,,,,case rate,,83920,,,,,,,case rate,,36179,83920,
Angina pectoris & coronary atherosclerosis,198,APR-DRG,,inpatient,,,4197,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4197,,,,,,,case rate,,5707,,,,,,,case rate,,4197,,,,,,,case rate,,4197,,,,,,,case rate,,4197,,,,,,,case rate,,4826,,,,,,,case rate,,4616,,,,,,,case rate,,4071,,,,,,,case rate,,4197,,,,,,,case rate,,4197,,,,,,,case rate,,4322,,,,,,,case rate,,9442,,,,,,,case rate,,4071,9442,
Angina pectoris & coronary atherosclerosis,198,APR-DRG,,inpatient,,,5492,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5492,,,,,,,case rate,,7468,,,,,,,case rate,,5492,,,,,,,case rate,,5492,,,,,,,case rate,,5492,,,,,,,case rate,,6315,,,,,,,case rate,,6041,,,,,,,case rate,,5327,,,,,,,case rate,,5492,,,,,,,case rate,,5492,,,,,,,case rate,,5656,,,,,,,case rate,,12356,,,,,,,case rate,,5327,12356,
Angina pectoris & coronary atherosclerosis,198,APR-DRG,,inpatient,,,8404,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8404,,,,,,,case rate,,11430,,,,,,,case rate,,8404,,,,,,,case rate,,8404,,,,,,,case rate,,8404,,,,,,,case rate,,9665,,,,,,,case rate,,9245,,,,,,,case rate,,8152,,,,,,,case rate,,8404,,,,,,,case rate,,8404,,,,,,,case rate,,8656,,,,,,,case rate,,18910,,,,,,,case rate,,8152,18910,
Angina pectoris & coronary atherosclerosis,198,APR-DRG,,inpatient,,,24880,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24880,,,,,,,case rate,,33837,,,,,,,case rate,,24880,,,,,,,case rate,,24880,,,,,,,case rate,,24880,,,,,,,case rate,,28612,,,,,,,case rate,,27368,,,,,,,case rate,,24134,,,,,,,case rate,,24880,,,,,,,case rate,,24880,,,,,,,case rate,,25626,,,,,,,case rate,,55980,,,,,,,case rate,,24134,55980,
Appendectomy,225,APR-DRG,,inpatient,,,7400,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7400,,,,,,,case rate,,10064,,,,,,,case rate,,7400,,,,,,,case rate,,7400,,,,,,,case rate,,7400,,,,,,,case rate,,8510,,,,,,,case rate,,8140,,,,,,,case rate,,7178,,,,,,,case rate,,7400,,,,,,,case rate,,7400,,,,,,,case rate,,7622,,,,,,,case rate,,16650,,,,,,,case rate,,7178,16650,
Appendectomy,225,APR-DRG,,inpatient,,,11351,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11351,,,,,,,case rate,,15437,,,,,,,case rate,,11351,,,,,,,case rate,,11351,,,,,,,case rate,,11351,,,,,,,case rate,,13054,,,,,,,case rate,,12486,,,,,,,case rate,,11010,,,,,,,case rate,,11351,,,,,,,case rate,,11351,,,,,,,case rate,,11692,,,,,,,case rate,,25540,,,,,,,case rate,,11010,25540,
Appendectomy,225,APR-DRG,,inpatient,,,20852,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20852,,,,,,,case rate,,28359,,,,,,,case rate,,20852,,,,,,,case rate,,20852,,,,,,,case rate,,20852,,,,,,,case rate,,23980,,,,,,,case rate,,22937,,,,,,,case rate,,20226,,,,,,,case rate,,20852,,,,,,,case rate,,20852,,,,,,,case rate,,21478,,,,,,,case rate,,46917,,,,,,,case rate,,20226,46917,
Appendectomy,225,APR-DRG,,inpatient,,,41751,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41751,,,,,,,case rate,,56782,,,,,,,case rate,,41751,,,,,,,case rate,,41751,,,,,,,case rate,,41751,,,,,,,case rate,,48014,,,,,,,case rate,,45926,,,,,,,case rate,,40499,,,,,,,case rate,,41751,,,,,,,case rate,,41751,,,,,,,case rate,,43004,,,,,,,case rate,,93940,,,,,,,case rate,,40499,93940,
Asthma,141,APR-DRG,,inpatient,,,4868,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4868,,,,,,,case rate,,6620,,,,,,,case rate,,4868,,,,,,,case rate,,4868,,,,,,,case rate,,4868,,,,,,,case rate,,5598,,,,,,,case rate,,5354,,,,,,,case rate,,4722,,,,,,,case rate,,4868,,,,,,,case rate,,4868,,,,,,,case rate,,5014,,,,,,,case rate,,10952,,,,,,,case rate,,4722,10952,
Asthma,141,APR-DRG,,inpatient,,,6345,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6345,,,,,,,case rate,,8629,,,,,,,case rate,,6345,,,,,,,case rate,,6345,,,,,,,case rate,,6345,,,,,,,case rate,,7296,,,,,,,case rate,,6979,,,,,,,case rate,,6154,,,,,,,case rate,,6345,,,,,,,case rate,,6345,,,,,,,case rate,,6535,,,,,,,case rate,,14275,,,,,,,case rate,,6154,14275,
Asthma,141,APR-DRG,,inpatient,,,9638,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9638,,,,,,,case rate,,13107,,,,,,,case rate,,9638,,,,,,,case rate,,9638,,,,,,,case rate,,9638,,,,,,,case rate,,11083,,,,,,,case rate,,10601,,,,,,,case rate,,9349,,,,,,,case rate,,9638,,,,,,,case rate,,9638,,,,,,,case rate,,9927,,,,,,,case rate,,21685,,,,,,,case rate,,9349,21685,
Asthma,141,APR-DRG,,inpatient,,,16978,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16978,,,,,,,case rate,,23090,,,,,,,case rate,,16978,,,,,,,case rate,,16978,,,,,,,case rate,,16978,,,,,,,case rate,,19525,,,,,,,case rate,,18676,,,,,,,case rate,,16469,,,,,,,case rate,,16978,,,,,,,case rate,,16978,,,,,,,case rate,,17488,,,,,,,case rate,,38201,,,,,,,case rate,,16469,38201,
B4087 - GASTROSTOMT TUBE MIC #0100-18,B4087,CPT,,both,,,138,138,,21,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,19,222,
Bacterial & tuberculous infections of nervous system,49,APR-DRG,,inpatient,,,11972,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11972,,,,,,,case rate,,16282,,,,,,,case rate,,11972,,,,,,,case rate,,11972,,,,,,,case rate,,11972,,,,,,,case rate,,13768,,,,,,,case rate,,13169,,,,,,,case rate,,11613,,,,,,,case rate,,11972,,,,,,,case rate,,11972,,,,,,,case rate,,12331,,,,,,,case rate,,26937,,,,,,,case rate,,11613,26937,
Bacterial & tuberculous infections of nervous system,49,APR-DRG,,inpatient,,,25583,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25583,,,,,,,case rate,,34793,,,,,,,case rate,,25583,,,,,,,case rate,,25583,,,,,,,case rate,,25583,,,,,,,case rate,,29420,,,,,,,case rate,,28141,,,,,,,case rate,,24815,,,,,,,case rate,,25583,,,,,,,case rate,,25583,,,,,,,case rate,,26350,,,,,,,case rate,,57562,,,,,,,case rate,,24815,57562,
Bacterial & tuberculous infections of nervous system,49,APR-DRG,,inpatient,,,32895,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32895,,,,,,,case rate,,44737,,,,,,,case rate,,32895,,,,,,,case rate,,32895,,,,,,,case rate,,32895,,,,,,,case rate,,37829,,,,,,,case rate,,36184,,,,,,,case rate,,31908,,,,,,,case rate,,32895,,,,,,,case rate,,32895,,,,,,,case rate,,33882,,,,,,,case rate,,74013,,,,,,,case rate,,31908,74013,
Bacterial & tuberculous infections of nervous system,49,APR-DRG,,inpatient,,,61334,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,61334,,,,,,,case rate,,83414,,,,,,,case rate,,61334,,,,,,,case rate,,61334,,,,,,,case rate,,61334,,,,,,,case rate,,70534,,,,,,,case rate,,67467,,,,,,,case rate,,59494,,,,,,,case rate,,61334,,,,,,,case rate,,61334,,,,,,,case rate,,63174,,,,,,,case rate,,138001,,,,,,,case rate,,59494,138001,
Behavioral disorders,758,APR-DRG,,inpatient,,,5530,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5530,,,,,,,case rate,,7520,,,,,,,case rate,,5530,,,,,,,case rate,,5530,,,,,,,case rate,,5530,,,,,,,case rate,,6359,,,,,,,case rate,,6083,,,,,,,case rate,,5364,,,,,,,case rate,,5530,,,,,,,case rate,,5530,,,,,,,case rate,,5695,,,,,,,case rate,,12442,,,,,,,case rate,,5364,12442,
Behavioral disorders,758,APR-DRG,,inpatient,,,11623,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11623,,,,,,,case rate,,15808,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,13367,,,,,,,case rate,,12786,,,,,,,case rate,,11275,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,11972,,,,,,,case rate,,26153,,,,,,,case rate,,11275,26153,
Behavioral disorders,758,APR-DRG,,inpatient,,,11623,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11623,,,,,,,case rate,,15808,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,13367,,,,,,,case rate,,12786,,,,,,,case rate,,11275,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,11972,,,,,,,case rate,,26153,,,,,,,case rate,,11275,26153,
Behavioral disorders,758,APR-DRG,,inpatient,,,11623,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11623,,,,,,,case rate,,15808,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,13367,,,,,,,case rate,,12786,,,,,,,case rate,,11275,,,,,,,case rate,,11623,,,,,,,case rate,,11623,,,,,,,case rate,,11972,,,,,,,case rate,,26153,,,,,,,case rate,,11275,26153,
Bipolar disorders,753,APR-DRG,,inpatient,,,8514,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8514,,,,,,,case rate,,11579,,,,,,,case rate,,8514,,,,,,,case rate,,8514,,,,,,,case rate,,8514,,,,,,,case rate,,9791,,,,,,,case rate,,9366,,,,,,,case rate,,8259,,,,,,,case rate,,8514,,,,,,,case rate,,8514,,,,,,,case rate,,8770,,,,,,,case rate,,19157,,,,,,,case rate,,8259,19157,
Bipolar disorders,753,APR-DRG,,inpatient,,,10549,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10549,,,,,,,case rate,,14347,,,,,,,case rate,,10549,,,,,,,case rate,,10549,,,,,,,case rate,,10549,,,,,,,case rate,,12132,,,,,,,case rate,,11604,,,,,,,case rate,,10233,,,,,,,case rate,,10549,,,,,,,case rate,,10549,,,,,,,case rate,,10866,,,,,,,case rate,,23736,,,,,,,case rate,,10233,23736,
Bipolar disorders,753,APR-DRG,,inpatient,,,16948,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16948,,,,,,,case rate,,23050,,,,,,,case rate,,16948,,,,,,,case rate,,16948,,,,,,,case rate,,16948,,,,,,,case rate,,19491,,,,,,,case rate,,18643,,,,,,,case rate,,16440,,,,,,,case rate,,16948,,,,,,,case rate,,16948,,,,,,,case rate,,17457,,,,,,,case rate,,38134,,,,,,,case rate,,16440,38134,
Bipolar disorders,753,APR-DRG,,inpatient,,,18239,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18239,,,,,,,case rate,,24806,,,,,,,case rate,,18239,,,,,,,case rate,,18239,,,,,,,case rate,,18239,,,,,,,case rate,,20975,,,,,,,case rate,,20063,,,,,,,case rate,,17692,,,,,,,case rate,,18239,,,,,,,case rate,,18239,,,,,,,case rate,,18787,,,,,,,case rate,,41039,,,,,,,case rate,,17692,41039,
Bone marrow transplant,3,APR-DRG,,inpatient,,,68098,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,68098,,,,,,,case rate,,92613,,,,,,,case rate,,68098,,,,,,,case rate,,68098,,,,,,,case rate,,68098,,,,,,,case rate,,78313,,,,,,,case rate,,74908,,,,,,,case rate,,66055,,,,,,,case rate,,68098,,,,,,,case rate,,68098,,,,,,,case rate,,70141,,,,,,,case rate,,153220,,,,,,,case rate,,66055,153220,
Bone marrow transplant,3,APR-DRG,,inpatient,,,79763,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,79763,,,,,,,case rate,,108478,,,,,,,case rate,,79763,,,,,,,case rate,,79763,,,,,,,case rate,,79763,,,,,,,case rate,,91728,,,,,,,case rate,,87740,,,,,,,case rate,,77371,,,,,,,case rate,,79763,,,,,,,case rate,,79763,,,,,,,case rate,,82156,,,,,,,case rate,,179468,,,,,,,case rate,,77371,179468,
Bone marrow transplant,3,APR-DRG,,inpatient,,,121518,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,121518,,,,,,,case rate,,165264,,,,,,,case rate,,121518,,,,,,,case rate,,121518,,,,,,,case rate,,121518,,,,,,,case rate,,139745,,,,,,,case rate,,133670,,,,,,,case rate,,117872,,,,,,,case rate,,121518,,,,,,,case rate,,121518,,,,,,,case rate,,125163,,,,,,,case rate,,273415,,,,,,,case rate,,117872,273415,
Bone marrow transplant,3,APR-DRG,,inpatient,,,230333,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,230333,,,,,,,case rate,,313253,,,,,,,case rate,,230333,,,,,,,case rate,,230333,,,,,,,case rate,,230333,,,,,,,case rate,,264883,,,,,,,case rate,,253366,,,,,,,case rate,,223423,,,,,,,case rate,,230333,,,,,,,case rate,,230333,,,,,,,case rate,,237243,,,,,,,case rate,,518249,,,,,,,case rate,,223423,518249,
BPD & oth chronic respiratory diseases arising in perinatal period,132,APR-DRG,,inpatient,,,6066,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6066,,,,,,,case rate,,8250,,,,,,,case rate,,6066,,,,,,,case rate,,6066,,,,,,,case rate,,6066,,,,,,,case rate,,6976,,,,,,,case rate,,6673,,,,,,,case rate,,5884,,,,,,,case rate,,6066,,,,,,,case rate,,6066,,,,,,,case rate,,6248,,,,,,,case rate,,13649,,,,,,,case rate,,5884,13649,
BPD & oth chronic respiratory diseases arising in perinatal period,132,APR-DRG,,inpatient,,,8061,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8061,,,,,,,case rate,,10963,,,,,,,case rate,,8061,,,,,,,case rate,,8061,,,,,,,case rate,,8061,,,,,,,case rate,,9270,,,,,,,case rate,,8867,,,,,,,case rate,,7819,,,,,,,case rate,,8061,,,,,,,case rate,,8061,,,,,,,case rate,,8303,,,,,,,case rate,,18137,,,,,,,case rate,,7819,18137,
BPD & oth chronic respiratory diseases arising in perinatal period,132,APR-DRG,,inpatient,,,13543,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13543,,,,,,,case rate,,18419,,,,,,,case rate,,13543,,,,,,,case rate,,13543,,,,,,,case rate,,13543,,,,,,,case rate,,15575,,,,,,,case rate,,14898,,,,,,,case rate,,13137,,,,,,,case rate,,13543,,,,,,,case rate,,13543,,,,,,,case rate,,13950,,,,,,,case rate,,30472,,,,,,,case rate,,13137,30472,
BPD & oth chronic respiratory diseases arising in perinatal period,132,APR-DRG,,inpatient,,,24675,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24675,,,,,,,case rate,,33559,,,,,,,case rate,,24675,,,,,,,case rate,,24675,,,,,,,case rate,,24675,,,,,,,case rate,,28377,,,,,,,case rate,,27143,,,,,,,case rate,,23935,,,,,,,case rate,,24675,,,,,,,case rate,,24675,,,,,,,case rate,,25416,,,,,,,case rate,,55520,,,,,,,case rate,,23935,55520,
"Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma",56,APR-DRG,,inpatient,,,5337,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5337,,,,,,,case rate,,7259,,,,,,,case rate,,5337,,,,,,,case rate,,5337,,,,,,,case rate,,5337,,,,,,,case rate,,6138,,,,,,,case rate,,5871,,,,,,,case rate,,5177,,,,,,,case rate,,5337,,,,,,,case rate,,5337,,,,,,,case rate,,5497,,,,,,,case rate,,12009,,,,,,,case rate,,5177,12009,
"Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma",56,APR-DRG,,inpatient,,,8239,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8239,,,,,,,case rate,,11205,,,,,,,case rate,,8239,,,,,,,case rate,,8239,,,,,,,case rate,,8239,,,,,,,case rate,,9475,,,,,,,case rate,,9063,,,,,,,case rate,,7992,,,,,,,case rate,,8239,,,,,,,case rate,,8239,,,,,,,case rate,,8486,,,,,,,case rate,,18537,,,,,,,case rate,,7992,18537,
"Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma",56,APR-DRG,,inpatient,,,14664,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14664,,,,,,,case rate,,19943,,,,,,,case rate,,14664,,,,,,,case rate,,14664,,,,,,,case rate,,14664,,,,,,,case rate,,16863,,,,,,,case rate,,16130,,,,,,,case rate,,14224,,,,,,,case rate,,14664,,,,,,,case rate,,14664,,,,,,,case rate,,15104,,,,,,,case rate,,32993,,,,,,,case rate,,14224,32993,
"Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma",56,APR-DRG,,inpatient,,,39098,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39098,,,,,,,case rate,,53173,,,,,,,case rate,,39098,,,,,,,case rate,,39098,,,,,,,case rate,,39098,,,,,,,case rate,,44962,,,,,,,case rate,,43007,,,,,,,case rate,,37925,,,,,,,case rate,,39098,,,,,,,case rate,,39098,,,,,,,case rate,,40270,,,,,,,case rate,,87969,,,,,,,case rate,,37925,87969,
Breast procedures except mastectomy,363,APR-DRG,,inpatient,,,9305,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9305,,,,,,,case rate,,12654,,,,,,,case rate,,9305,,,,,,,case rate,,9305,,,,,,,case rate,,9305,,,,,,,case rate,,10700,,,,,,,case rate,,10235,,,,,,,case rate,,9026,,,,,,,case rate,,9305,,,,,,,case rate,,9305,,,,,,,case rate,,9584,,,,,,,case rate,,20936,,,,,,,case rate,,9026,20936,
Breast procedures except mastectomy,363,APR-DRG,,inpatient,,,15606,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15606,,,,,,,case rate,,21224,,,,,,,case rate,,15606,,,,,,,case rate,,15606,,,,,,,case rate,,15606,,,,,,,case rate,,17947,,,,,,,case rate,,17167,,,,,,,case rate,,15138,,,,,,,case rate,,15606,,,,,,,case rate,,15606,,,,,,,case rate,,16074,,,,,,,case rate,,35114,,,,,,,case rate,,15138,35114,
Breast procedures except mastectomy,363,APR-DRG,,inpatient,,,23591,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23591,,,,,,,case rate,,32084,,,,,,,case rate,,23591,,,,,,,case rate,,23591,,,,,,,case rate,,23591,,,,,,,case rate,,27130,,,,,,,case rate,,25950,,,,,,,case rate,,22883,,,,,,,case rate,,23591,,,,,,,case rate,,23591,,,,,,,case rate,,24299,,,,,,,case rate,,53080,,,,,,,case rate,,22883,53080,
Breast procedures except mastectomy,363,APR-DRG,,inpatient,,,24259,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24259,,,,,,,case rate,,32992,,,,,,,case rate,,24259,,,,,,,case rate,,24259,,,,,,,case rate,,24259,,,,,,,case rate,,27898,,,,,,,case rate,,26685,,,,,,,case rate,,23531,,,,,,,case rate,,24259,,,,,,,case rate,,24259,,,,,,,case rate,,24987,,,,,,,case rate,,54583,,,,,,,case rate,,23531,54583,
Bronchiolitis & RSV pneumonia,138,APR-DRG,,inpatient,,,5013,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5013,,,,,,,case rate,,6817,,,,,,,case rate,,5013,,,,,,,case rate,,5013,,,,,,,case rate,,5013,,,,,,,case rate,,5764,,,,,,,case rate,,5514,,,,,,,case rate,,4862,,,,,,,case rate,,5013,,,,,,,case rate,,5013,,,,,,,case rate,,5163,,,,,,,case rate,,11278,,,,,,,case rate,,4862,11278,
Bronchiolitis & RSV pneumonia,138,APR-DRG,,inpatient,,,6478,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6478,,,,,,,case rate,,8810,,,,,,,case rate,,6478,,,,,,,case rate,,6478,,,,,,,case rate,,6478,,,,,,,case rate,,7450,,,,,,,case rate,,7126,,,,,,,case rate,,6284,,,,,,,case rate,,6478,,,,,,,case rate,,6478,,,,,,,case rate,,6673,,,,,,,case rate,,14576,,,,,,,case rate,,6284,14576,
Bronchiolitis & RSV pneumonia,138,APR-DRG,,inpatient,,,14027,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14027,,,,,,,case rate,,19077,,,,,,,case rate,,14027,,,,,,,case rate,,14027,,,,,,,case rate,,14027,,,,,,,case rate,,16132,,,,,,,case rate,,15430,,,,,,,case rate,,13607,,,,,,,case rate,,14027,,,,,,,case rate,,14027,,,,,,,case rate,,14448,,,,,,,case rate,,31562,,,,,,,case rate,,13607,31562,
Bronchiolitis & RSV pneumonia,138,APR-DRG,,inpatient,,,31078,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31078,,,,,,,case rate,,42266,,,,,,,case rate,,31078,,,,,,,case rate,,31078,,,,,,,case rate,,31078,,,,,,,case rate,,35739,,,,,,,case rate,,34185,,,,,,,case rate,,30145,,,,,,,case rate,,31078,,,,,,,case rate,,31078,,,,,,,case rate,,32010,,,,,,,case rate,,69925,,,,,,,case rate,,30145,69925,
Burns with skin graft except extensive 3rd degree burns,842,APR-DRG,,inpatient,,,22151,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22151,,,,,,,case rate,,30126,,,,,,,case rate,,22151,,,,,,,case rate,,22151,,,,,,,case rate,,22151,,,,,,,case rate,,25474,,,,,,,case rate,,24366,,,,,,,case rate,,21487,,,,,,,case rate,,22151,,,,,,,case rate,,22151,,,,,,,case rate,,22816,,,,,,,case rate,,49840,,,,,,,case rate,,21487,49840,
Burns with skin graft except extensive 3rd degree burns,842,APR-DRG,,inpatient,,,29132,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29132,,,,,,,case rate,,39619,,,,,,,case rate,,29132,,,,,,,case rate,,29132,,,,,,,case rate,,29132,,,,,,,case rate,,33502,,,,,,,case rate,,32045,,,,,,,case rate,,28258,,,,,,,case rate,,29132,,,,,,,case rate,,29132,,,,,,,case rate,,30006,,,,,,,case rate,,65547,,,,,,,case rate,,28258,65547,
Burns with skin graft except extensive 3rd degree burns,842,APR-DRG,,inpatient,,,44848,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,44848,,,,,,,case rate,,60993,,,,,,,case rate,,44848,,,,,,,case rate,,44848,,,,,,,case rate,,44848,,,,,,,case rate,,51575,,,,,,,case rate,,49333,,,,,,,case rate,,43503,,,,,,,case rate,,44848,,,,,,,case rate,,44848,,,,,,,case rate,,46193,,,,,,,case rate,,100908,,,,,,,case rate,,43503,100908,
Burns with skin graft except extensive 3rd degree burns,842,APR-DRG,,inpatient,,,88778,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,88778,,,,,,,case rate,,120738,,,,,,,case rate,,88778,,,,,,,case rate,,88778,,,,,,,case rate,,88778,,,,,,,case rate,,102095,,,,,,,case rate,,97656,,,,,,,case rate,,86115,,,,,,,case rate,,88778,,,,,,,case rate,,88778,,,,,,,case rate,,91442,,,,,,,case rate,,199751,,,,,,,case rate,,86115,199751,
C1721 - ICD EVERA # DDMB1D4,C1721,HCPCS,,both,,,55399,55399,,65323,,,,,,,case rate,,78599,,,,,,,case rate,,63456,,,,,,,case rate,,63456,,,,,,,case rate,,90961,,,,,,,case rate,,90961,,,,,,,case rate,,67893,,,,,,,case rate,,44156,,,,,,,case rate,,  ,,,,,,,case rate,,56704,,,,,,,case rate,,56704,,,,,,,case rate,,56704,,,,,,,case rate,,57838,,,,,,,case rate,,56704,,,,,,,case rate,,56704,,,,,,,case rate,,56704,,,,,,,case rate,,52735,,,,,,,case rate,,56704,,,,,,,case rate,,56704,,,,,,,case rate,,56704,,,,,,,case rate,,56704,,,,,,,case rate,,57838,,,,,,,case rate,,60673,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,44156,90961,
C1722 - ICD-SC  # A219,C1722,HCPCS,,both,,,56716,56716,,69561,,,,,,,case rate,,83698,,,,,,,case rate,,67573,,,,,,,case rate,,67573,,,,,,,case rate,,96862,,,,,,,case rate,,96862,,,,,,,case rate,,72298,,,,,,,case rate,,47021,,,,,,,case rate,,  ,,,,,,,case rate,,60295,,,,,,,case rate,,60295,,,,,,,case rate,,60295,,,,,,,case rate,,61501,,,,,,,case rate,,60295,,,,,,,case rate,,60295,,,,,,,case rate,,60295,,,,,,,case rate,,56074,,,,,,,case rate,,60295,,,,,,,case rate,,60295,,,,,,,case rate,,60295,,,,,,,case rate,,60295,,,,,,,case rate,,61501,,,,,,,case rate,,64515,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,47021,96862,
C1763 - TYRX CMRM6122,C1763,HCPCS,,both,,,24685,24685,,25987,,,,,,,case rate,,31269,,,,,,,case rate,,25244,,,,,,,case rate,,25244,,,,,,,case rate,,36187,,,,,,,case rate,,36187,,,,,,,case rate,,27010,,,,,,,case rate,,17566,,,,,,,case rate,,  ,,,,,,,case rate,,23378,,,,,,,case rate,,23378,,,,,,,case rate,,23378,,,,,,,case rate,,23845,,,,,,,case rate,,23378,,,,,,,case rate,,23378,,,,,,,case rate,,23378,,,,,,,case rate,,21741,,,,,,,case rate,,23378,,,,,,,case rate,,23378,,,,,,,case rate,,23378,,,,,,,case rate,,23378,,,,,,,case rate,,23845,,,,,,,case rate,,25014,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17566,36187,
C1764 - LOOP RECORDERS REVEAL LINQ,C1764,HCPCS,,both,,,77046,77046,,45812,,,,,,,case rate,,55123,,,,,,,case rate,,44503,,,,,,,case rate,,44503,,,,,,,case rate,,63793,,,,,,,case rate,,63793,,,,,,,case rate,,47615,,,,,,,case rate,,30967,,,,,,,case rate,,  ,,,,,,,case rate,,40174,,,,,,,case rate,,40174,,,,,,,case rate,,40174,,,,,,,case rate,,40978,,,,,,,case rate,,40174,,,,,,,case rate,,40174,,,,,,,case rate,,40174,,,,,,,case rate,,37362,,,,,,,case rate,,40174,,,,,,,case rate,,40174,,,,,,,case rate,,40174,,,,,,,case rate,,40174,,,,,,,case rate,,40978,,,,,,,case rate,,42986,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30967,63793,
C1767 - SENTIVA NERVE GENERATOR,C1767,HCPCS,,both,,,112915,112915,,55374,,,,,,,case rate,,66628,,,,,,,case rate,,53791,,,,,,,case rate,,53791,,,,,,,case rate,,77107,,,,,,,case rate,,77107,,,,,,,case rate,,57552,,,,,,,case rate,,37431,,,,,,,case rate,,  ,,,,,,,case rate,,48275,,,,,,,case rate,,48275,,,,,,,case rate,,48275,,,,,,,case rate,,49240,,,,,,,case rate,,48275,,,,,,,case rate,,48275,,,,,,,case rate,,48275,,,,,,,case rate,,44895,,,,,,,case rate,,48275,,,,,,,case rate,,48275,,,,,,,case rate,,48275,,,,,,,case rate,,48275,,,,,,,case rate,,49240,,,,,,,case rate,,51654,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37431,77107,
C1771 - SOLYX SINGLE INCISION SLING,C1771,HCPCS,,both,,,22710,22710,,26214,,,,,,,case rate,,31541,,,,,,,case rate,,25464,,,,,,,case rate,,25464,,,,,,,case rate,,36502,,,,,,,case rate,,36502,,,,,,,case rate,,27245,,,,,,,case rate,,17719,,,,,,,case rate,,  ,,,,,,,case rate,,23569,,,,,,,case rate,,23569,,,,,,,case rate,,23569,,,,,,,case rate,,24041,,,,,,,case rate,,23569,,,,,,,case rate,,23569,,,,,,,case rate,,23569,,,,,,,case rate,,21920,,,,,,,case rate,,23569,,,,,,,case rate,,23569,,,,,,,case rate,,23569,,,,,,,case rate,,23569,,,,,,,case rate,,24041,,,,,,,case rate,,25219,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17719,36502,
C1777 - PLEXA DX 65/15 REF 436909,C1777,HCPCS,,both,,,37419,37419,,63060,,,,,,,case rate,,75875,,,,,,,case rate,,61257,,,,,,,case rate,,61257,,,,,,,case rate,,87809,,,,,,,case rate,,87809,,,,,,,case rate,,65541,,,,,,,case rate,,42626,,,,,,,case rate,,  ,,,,,,,case rate,,54786,,,,,,,case rate,,54786,,,,,,,case rate,,54786,,,,,,,case rate,,55882,,,,,,,case rate,,54786,,,,,,,case rate,,54786,,,,,,,case rate,,54786,,,,,,,case rate,,50951,,,,,,,case rate,,54786,,,,,,,case rate,,54786,,,,,,,case rate,,54786,,,,,,,case rate,,54786,,,,,,,case rate,,55882,,,,,,,case rate,,58621,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42626,87809,
C1778 - STIMULATOR LEAD # SC-231650E,C1778,HCPCS,,both,,,23519,23519,,30818,,,,,,,case rate,,37081,,,,,,,case rate,,29937,,,,,,,case rate,,29937,,,,,,,case rate,,42913,,,,,,,case rate,,42913,,,,,,,case rate,,32030,,,,,,,case rate,,20831,,,,,,,case rate,,  ,,,,,,,case rate,,27470,,,,,,,case rate,,27470,,,,,,,case rate,,27470,,,,,,,case rate,,28020,,,,,,,case rate,,27470,,,,,,,case rate,,27470,,,,,,,case rate,,27470,,,,,,,case rate,,25547,,,,,,,case rate,,27470,,,,,,,case rate,,27470,,,,,,,case rate,,27470,,,,,,,case rate,,27470,,,,,,,case rate,,28020,,,,,,,case rate,,29393,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20831,42913,
C1780 - LENS ALCON PCL # SN60WF 23.5D,C1780,HCPCS,,both,,,125857,125857,,40666,,,,,,,case rate,,48931,,,,,,,case rate,,39504,,,,,,,case rate,,39504,,,,,,,case rate,,56627,,,,,,,case rate,,56627,,,,,,,case rate,,42266,,,,,,,case rate,,27489,,,,,,,case rate,,  ,,,,,,,case rate,,35814,,,,,,,case rate,,35814,,,,,,,case rate,,35814,,,,,,,case rate,,36531,,,,,,,case rate,,35814,,,,,,,case rate,,35814,,,,,,,case rate,,35814,,,,,,,case rate,,33307,,,,,,,case rate,,35814,,,,,,,case rate,,35814,,,,,,,case rate,,35814,,,,,,,case rate,,35814,,,,,,,case rate,,36531,,,,,,,case rate,,38321,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27489,56627,
C1784 - PERFLUORON 5CC,C1784,HCPCS,,both,,,29140,29140,,26187,,,,,,,case rate,,31509,,,,,,,case rate,,25438,,,,,,,case rate,,25438,,,,,,,case rate,,36464,,,,,,,case rate,,36464,,,,,,,case rate,,27217,,,,,,,case rate,,17701,,,,,,,case rate,,  ,,,,,,,case rate,,23547,,,,,,,case rate,,23547,,,,,,,case rate,,23547,,,,,,,case rate,,24018,,,,,,,case rate,,23547,,,,,,,case rate,,23547,,,,,,,case rate,,23547,,,,,,,case rate,,21899,,,,,,,case rate,,23547,,,,,,,case rate,,23547,,,,,,,case rate,,23547,,,,,,,case rate,,23547,,,,,,,case rate,,24018,,,,,,,case rate,,25195,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17701,36464,
C1785 - PPM ACCOLADE #L331,C1785,HCPCS,,both,,,186953,186953,,54383,,,,,,,case rate,,65435,,,,,,,case rate,,52828,,,,,,,case rate,,52828,,,,,,,case rate,,75727,,,,,,,case rate,,75727,,,,,,,case rate,,56522,,,,,,,case rate,,36761,,,,,,,case rate,,  ,,,,,,,case rate,,47435,,,,,,,case rate,,47435,,,,,,,case rate,,47435,,,,,,,case rate,,48384,,,,,,,case rate,,47435,,,,,,,case rate,,47435,,,,,,,case rate,,47435,,,,,,,case rate,,44115,,,,,,,case rate,,47435,,,,,,,case rate,,47435,,,,,,,case rate,,47435,,,,,,,case rate,,47435,,,,,,,case rate,,48384,,,,,,,case rate,,50755,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36761,75727,
C1786 - MCRA LEADLESS PACEMAKER KIT,C1786,HCPCS,,both,,,48533,48533,,58426,,,,,,,case rate,,70300,,,,,,,case rate,,56756,,,,,,,case rate,,56756,,,,,,,case rate,,81357,,,,,,,case rate,,81357,,,,,,,case rate,,60725,,,,,,,case rate,,39494,,,,,,,case rate,,  ,,,,,,,case rate,,50860,,,,,,,case rate,,50860,,,,,,,case rate,,50860,,,,,,,case rate,,51878,,,,,,,case rate,,50860,,,,,,,case rate,,50860,,,,,,,case rate,,50860,,,,,,,case rate,,47300,,,,,,,case rate,,50860,,,,,,,case rate,,50860,,,,,,,case rate,,50860,,,,,,,case rate,,50860,,,,,,,case rate,,51878,,,,,,,case rate,,54421,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39494,81357,
C1813 - IMPLANT PENILE RESERVOIR 125ML,C1813,HCPCS,,both,,,54319,54319,,57458,,,,,,,case rate,,69136,,,,,,,case rate,,55816,,,,,,,case rate,,55816,,,,,,,case rate,,80009,,,,,,,case rate,,80009,,,,,,,case rate,,59719,,,,,,,case rate,,38840,,,,,,,case rate,,  ,,,,,,,case rate,,50041,,,,,,,case rate,,50041,,,,,,,case rate,,50041,,,,,,,case rate,,51042,,,,,,,case rate,,50041,,,,,,,case rate,,50041,,,,,,,case rate,,50041,,,,,,,case rate,,46538,,,,,,,case rate,,50041,,,,,,,case rate,,50041,,,,,,,case rate,,50041,,,,,,,case rate,,50041,,,,,,,case rate,,51042,,,,,,,case rate,,53544,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38840,80009,
C1815 - AMS 800 URINARY CUFF 4.5,C1815,HCPCS,,both,,,31361,31361,,45935,,,,,,,case rate,,55270,,,,,,,case rate,,44622,,,,,,,case rate,,44622,,,,,,,case rate,,63963,,,,,,,case rate,,63963,,,,,,,case rate,,47742,,,,,,,case rate,,31050,,,,,,,case rate,,  ,,,,,,,case rate,,40278,,,,,,,case rate,,40278,,,,,,,case rate,,40278,,,,,,,case rate,,41083,,,,,,,case rate,,40278,,,,,,,case rate,,40278,,,,,,,case rate,,40278,,,,,,,case rate,,37458,,,,,,,case rate,,40278,,,,,,,case rate,,40278,,,,,,,case rate,,40278,,,,,,,case rate,,40278,,,,,,,case rate,,41083,,,,,,,case rate,,43097,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31050,63963,
"C1818 - IMPLANT, CORNEAL LEVEL 26",C1818,HCPCS,,both,,,20004,20004,,42127,,,,,,,case rate,,50689,,,,,,,case rate,,40923,,,,,,,case rate,,40923,,,,,,,case rate,,58661,,,,,,,case rate,,58661,,,,,,,case rate,,43785,,,,,,,case rate,,28476,,,,,,,case rate,,  ,,,,,,,case rate,,37052,,,,,,,case rate,,37052,,,,,,,case rate,,37052,,,,,,,case rate,,37793,,,,,,,case rate,,37052,,,,,,,case rate,,37052,,,,,,,case rate,,37052,,,,,,,case rate,,34458,,,,,,,case rate,,37052,,,,,,,case rate,,37052,,,,,,,case rate,,37052,,,,,,,case rate,,37052,,,,,,,case rate,,37793,,,,,,,case rate,,39646,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28476,58661,
C1825 - BAROSTIM DEVICE NEO 2102,C1825,HCPCS,,both,,,21128,21128,,802,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,13335,,,,,,,fee schedule,,13335,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8620,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,7860,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8451,,,,,,,fee schedule,,8620,,,,,,,fee schedule,,9043,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,802,13335,
C1882 - RESONATE ICD G447,C1882,HCPCS,,both,,,48291,48291,,67588,,,,,,,case rate,,81324,,,,,,,case rate,,65656,,,,,,,case rate,,65656,,,,,,,case rate,,94115,,,,,,,case rate,,94115,,,,,,,case rate,,70248,,,,,,,case rate,,45687,,,,,,,case rate,,  ,,,,,,,case rate,,58623,,,,,,,case rate,,58623,,,,,,,case rate,,58623,,,,,,,case rate,,59796,,,,,,,case rate,,58623,,,,,,,case rate,,58623,,,,,,,case rate,,58623,,,,,,,case rate,,54519,,,,,,,case rate,,58623,,,,,,,case rate,,58623,,,,,,,case rate,,58623,,,,,,,case rate,,58623,,,,,,,case rate,,59796,,,,,,,case rate,,62727,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,45687,94115,
C1895 - PPM LEAD DURATA #7122-65,C1895,HCPCS,,both,,,19500,19500,,41014,,,,,,,case rate,,49349,,,,,,,case rate,,39841,,,,,,,case rate,,39841,,,,,,,case rate,,57110,,,,,,,case rate,,57110,,,,,,,case rate,,42627,,,,,,,case rate,,27724,,,,,,,case rate,,  ,,,,,,,case rate,,36108,,,,,,,case rate,,36108,,,,,,,case rate,,36108,,,,,,,case rate,,36831,,,,,,,case rate,,36108,,,,,,,case rate,,36108,,,,,,,case rate,,36108,,,,,,,case rate,,33581,,,,,,,case rate,,36108,,,,,,,case rate,,36108,,,,,,,case rate,,36108,,,,,,,case rate,,36108,,,,,,,case rate,,36831,,,,,,,case rate,,38636,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27724,57110,
C1896 - EMBLEM S-ICD LEAD 3501,C1896,HCPCS,,both,,,19464,19464,,45902,,,,,,,case rate,,55231,,,,,,,case rate,,44590,,,,,,,case rate,,44590,,,,,,,case rate,,63917,,,,,,,case rate,,63917,,,,,,,case rate,,47708,,,,,,,case rate,,31028,,,,,,,case rate,,  ,,,,,,,case rate,,40250,,,,,,,case rate,,40250,,,,,,,case rate,,40250,,,,,,,case rate,,41055,,,,,,,case rate,,40250,,,,,,,case rate,,40250,,,,,,,case rate,,40250,,,,,,,case rate,,37432,,,,,,,case rate,,40250,,,,,,,case rate,,40250,,,,,,,case rate,,40250,,,,,,,case rate,,40250,,,,,,,case rate,,41055,,,,,,,case rate,,43067,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31028,63917,
C1900 - PACEMAKER LEAD 1458Q-86,C1900,HCPCS,,both,,,25647,25647,,30607,,,,,,,case rate,,36827,,,,,,,case rate,,29732,,,,,,,case rate,,29732,,,,,,,case rate,,42620,,,,,,,case rate,,42620,,,,,,,case rate,,31811,,,,,,,case rate,,20689,,,,,,,case rate,,  ,,,,,,,case rate,,27292,,,,,,,case rate,,27292,,,,,,,case rate,,27292,,,,,,,case rate,,27838,,,,,,,case rate,,27292,,,,,,,case rate,,27292,,,,,,,case rate,,27292,,,,,,,case rate,,25381,,,,,,,case rate,,27292,,,,,,,case rate,,27292,,,,,,,case rate,,27292,,,,,,,case rate,,27292,,,,,,,case rate,,27838,,,,,,,case rate,,29202,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20689,42620,
C2621 - PACEMAKER,C2621,HCPCS,,both,,,36516,36516,,52239,,,,,,,case rate,,62855,,,,,,,case rate,,50745,,,,,,,case rate,,50745,,,,,,,case rate,,72741,,,,,,,case rate,,72741,,,,,,,case rate,,54294,,,,,,,case rate,,35311,,,,,,,case rate,,  ,,,,,,,case rate,,45618,,,,,,,case rate,,45618,,,,,,,case rate,,45618,,,,,,,case rate,,46531,,,,,,,case rate,,45618,,,,,,,case rate,,45618,,,,,,,case rate,,45618,,,,,,,case rate,,42425,,,,,,,case rate,,45618,,,,,,,case rate,,45618,,,,,,,case rate,,45618,,,,,,,case rate,,45618,,,,,,,case rate,,46531,,,,,,,case rate,,48812,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35311,72741,
C9254 - LACOSAMIDE INJ 1MG(200MG/20ML),C9254,HCPCS,,both,,,1364,1364,,1050,,,,,,,case rate,,1027,,,,,,,case rate,,830,,,,,,,case rate,,830,,,,,,,case rate,,1085,,,,,,,case rate,,1085,,,,,,,case rate,,344,,,,,,,case rate,,657,,,,,,,case rate,,666,,,,,,,case rate,,526,,,,,,,case rate,,526,,,,,,,case rate,,526,,,,,,,case rate,,537,,,,,,,case rate,,526,,,,,,,case rate,,526,,,,,,,case rate,,526,,,,,,,case rate,,489,,,,,,,case rate,,526,,,,,,,case rate,,526,,,,,,,case rate,,526,,,,,,,case rate,,526,,,,,,,case rate,,537,,,,,,,case rate,,563,,,,,,,case rate,,275,,,,,,,case rate,,275,,,,,,,case rate,,275,,,,,,,case rate,,275,,,,,,,case rate,,275,,,,,,,case rate,,275,,,,,,,case rate,,302,,,,,,,case rate,,275,,,,,,,case rate,,275,,,,,,,case rate,,275,,,,,,,case rate,,283,,,,,,,case rate,,619,,,,,,,case rate,,275,1085,
C9257 - BEVACIZUMAB SYR 1.25MG/0.05ML,C9257,HCPCS,,both,,,56,56,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,45,
C9290 - BUPIVACAINE LIPOSOME 1MG,C9290,HCPCS,,both,,,2,2,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
C9359 - BONE BG MATRIX 12.5CC,C9359,HCPCS,,both,,,878,878,,144,,,,,,,fee schedule,,134,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,54,,,,,,,fee schedule,,54,,,,,,,fee schedule,,369,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,325,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,295,,,,,,,fee schedule,,304,,,,,,,fee schedule,,664,,,,,,,fee schedule,,54,664,
Cardiac arrest and shock,196,APR-DRG,,inpatient,,,6020,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6020,,,,,,,case rate,,8187,,,,,,,case rate,,6020,,,,,,,case rate,,6020,,,,,,,case rate,,6020,,,,,,,case rate,,6923,,,,,,,case rate,,6622,,,,,,,case rate,,5839,,,,,,,case rate,,6020,,,,,,,case rate,,6020,,,,,,,case rate,,6200,,,,,,,case rate,,13545,,,,,,,case rate,,5839,13545,
Cardiac arrest and shock,196,APR-DRG,,inpatient,,,6496,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6496,,,,,,,case rate,,8834,,,,,,,case rate,,6496,,,,,,,case rate,,6496,,,,,,,case rate,,6496,,,,,,,case rate,,7470,,,,,,,case rate,,7145,,,,,,,case rate,,6301,,,,,,,case rate,,6496,,,,,,,case rate,,6496,,,,,,,case rate,,6691,,,,,,,case rate,,14615,,,,,,,case rate,,6301,14615,
Cardiac arrest and shock,196,APR-DRG,,inpatient,,,7210,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7210,,,,,,,case rate,,9806,,,,,,,case rate,,7210,,,,,,,case rate,,7210,,,,,,,case rate,,7210,,,,,,,case rate,,8292,,,,,,,case rate,,7931,,,,,,,case rate,,6994,,,,,,,case rate,,7210,,,,,,,case rate,,7210,,,,,,,case rate,,7426,,,,,,,case rate,,16223,,,,,,,case rate,,6994,16223,
Cardiac arrest and shock,196,APR-DRG,,inpatient,,,21489,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21489,,,,,,,case rate,,29225,,,,,,,case rate,,21489,,,,,,,case rate,,21489,,,,,,,case rate,,21489,,,,,,,case rate,,24713,,,,,,,case rate,,23638,,,,,,,case rate,,20845,,,,,,,case rate,,21489,,,,,,,case rate,,21489,,,,,,,case rate,,22134,,,,,,,case rate,,48351,,,,,,,case rate,,20845,48351,
Cardiac arrhythmia & conduction disorders,201,APR-DRG,,inpatient,,,4445,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4445,,,,,,,case rate,,6046,,,,,,,case rate,,4445,,,,,,,case rate,,4445,,,,,,,case rate,,4445,,,,,,,case rate,,5112,,,,,,,case rate,,4890,,,,,,,case rate,,4312,,,,,,,case rate,,4445,,,,,,,case rate,,4445,,,,,,,case rate,,4579,,,,,,,case rate,,10002,,,,,,,case rate,,4312,10002,
Cardiac arrhythmia & conduction disorders,201,APR-DRG,,inpatient,,,6421,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6421,,,,,,,case rate,,8732,,,,,,,case rate,,6421,,,,,,,case rate,,6421,,,,,,,case rate,,6421,,,,,,,case rate,,7384,,,,,,,case rate,,7063,,,,,,,case rate,,6228,,,,,,,case rate,,6421,,,,,,,case rate,,6421,,,,,,,case rate,,6613,,,,,,,case rate,,14446,,,,,,,case rate,,6228,14446,
Cardiac arrhythmia & conduction disorders,201,APR-DRG,,inpatient,,,11151,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11151,,,,,,,case rate,,15165,,,,,,,case rate,,11151,,,,,,,case rate,,11151,,,,,,,case rate,,11151,,,,,,,case rate,,12823,,,,,,,case rate,,12266,,,,,,,case rate,,10816,,,,,,,case rate,,11151,,,,,,,case rate,,11151,,,,,,,case rate,,11485,,,,,,,case rate,,25089,,,,,,,case rate,,10816,25089,
Cardiac arrhythmia & conduction disorders,201,APR-DRG,,inpatient,,,26106,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26106,,,,,,,case rate,,35504,,,,,,,case rate,,26106,,,,,,,case rate,,26106,,,,,,,case rate,,26106,,,,,,,case rate,,30022,,,,,,,case rate,,28717,,,,,,,case rate,,25323,,,,,,,case rate,,26106,,,,,,,case rate,,26106,,,,,,,case rate,,26889,,,,,,,case rate,,58739,,,,,,,case rate,,25323,58739,
Cardiac catheterization for coronary artery disease,191,APR-DRG,,inpatient,,,7369,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7369,,,,,,,case rate,,10022,,,,,,,case rate,,7369,,,,,,,case rate,,7369,,,,,,,case rate,,7369,,,,,,,case rate,,8475,,,,,,,case rate,,8106,,,,,,,case rate,,7148,,,,,,,case rate,,7369,,,,,,,case rate,,7369,,,,,,,case rate,,7590,,,,,,,case rate,,16581,,,,,,,case rate,,7148,16581,
Cardiac catheterization for coronary artery disease,191,APR-DRG,,inpatient,,,9006,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9006,,,,,,,case rate,,12248,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,10356,,,,,,,case rate,,9906,,,,,,,case rate,,8735,,,,,,,case rate,,9006,,,,,,,case rate,,9006,,,,,,,case rate,,9276,,,,,,,case rate,,20263,,,,,,,case rate,,8735,20263,
Cardiac catheterization for coronary artery disease,191,APR-DRG,,inpatient,,,14664,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14664,,,,,,,case rate,,19943,,,,,,,case rate,,14664,,,,,,,case rate,,14664,,,,,,,case rate,,14664,,,,,,,case rate,,16863,,,,,,,case rate,,16130,,,,,,,case rate,,14224,,,,,,,case rate,,14664,,,,,,,case rate,,14664,,,,,,,case rate,,15104,,,,,,,case rate,,32993,,,,,,,case rate,,14224,32993,
Cardiac catheterization for coronary artery disease,191,APR-DRG,,inpatient,,,27211,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27211,,,,,,,case rate,,37007,,,,,,,case rate,,27211,,,,,,,case rate,,27211,,,,,,,case rate,,27211,,,,,,,case rate,,31293,,,,,,,case rate,,29932,,,,,,,case rate,,26395,,,,,,,case rate,,27211,,,,,,,case rate,,27211,,,,,,,case rate,,28027,,,,,,,case rate,,61225,,,,,,,case rate,,26395,61225,
Cardiac catheterization for other non-coronary conditions,192,APR-DRG,,inpatient,,,7381,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7381,,,,,,,case rate,,10038,,,,,,,case rate,,7381,,,,,,,case rate,,7381,,,,,,,case rate,,7381,,,,,,,case rate,,8488,,,,,,,case rate,,8119,,,,,,,case rate,,7159,,,,,,,case rate,,7381,,,,,,,case rate,,7381,,,,,,,case rate,,7602,,,,,,,case rate,,16606,,,,,,,case rate,,7159,16606,
Cardiac catheterization for other non-coronary conditions,192,APR-DRG,,inpatient,,,10477,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10477,,,,,,,case rate,,14249,,,,,,,case rate,,10477,,,,,,,case rate,,10477,,,,,,,case rate,,10477,,,,,,,case rate,,12049,,,,,,,case rate,,11525,,,,,,,case rate,,10163,,,,,,,case rate,,10477,,,,,,,case rate,,10477,,,,,,,case rate,,10792,,,,,,,case rate,,23574,,,,,,,case rate,,10163,23574,
Cardiac catheterization for other non-coronary conditions,192,APR-DRG,,inpatient,,,18705,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18705,,,,,,,case rate,,25439,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,21511,,,,,,,case rate,,20575,,,,,,,case rate,,18144,,,,,,,case rate,,18705,,,,,,,case rate,,18705,,,,,,,case rate,,19266,,,,,,,case rate,,42086,,,,,,,case rate,,18144,42086,
Cardiac catheterization for other non-coronary conditions,192,APR-DRG,,inpatient,,,42318,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42318,,,,,,,case rate,,57552,,,,,,,case rate,,42318,,,,,,,case rate,,42318,,,,,,,case rate,,42318,,,,,,,case rate,,48665,,,,,,,case rate,,46549,,,,,,,case rate,,41048,,,,,,,case rate,,42318,,,,,,,case rate,,42318,,,,,,,case rate,,43587,,,,,,,case rate,,95215,,,,,,,case rate,,41048,95215,
Cardiac defibrillator & heart assist implant,161,APR-DRG,,inpatient,,,41259,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41259,,,,,,,case rate,,56112,,,,,,,case rate,,41259,,,,,,,case rate,,41259,,,,,,,case rate,,41259,,,,,,,case rate,,47448,,,,,,,case rate,,45385,,,,,,,case rate,,40021,,,,,,,case rate,,41259,,,,,,,case rate,,41259,,,,,,,case rate,,42497,,,,,,,case rate,,92833,,,,,,,case rate,,40021,92833,
Cardiac defibrillator & heart assist implant,161,APR-DRG,,inpatient,,,62979,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62979,,,,,,,case rate,,85652,,,,,,,case rate,,62979,,,,,,,case rate,,62979,,,,,,,case rate,,62979,,,,,,,case rate,,72426,,,,,,,case rate,,69277,,,,,,,case rate,,61090,,,,,,,case rate,,62979,,,,,,,case rate,,62979,,,,,,,case rate,,64869,,,,,,,case rate,,141704,,,,,,,case rate,,61090,141704,
Cardiac defibrillator & heart assist implant,161,APR-DRG,,inpatient,,,101131,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,101131,,,,,,,case rate,,137539,,,,,,,case rate,,101131,,,,,,,case rate,,101131,,,,,,,case rate,,101131,,,,,,,case rate,,116301,,,,,,,case rate,,111245,,,,,,,case rate,,98097,,,,,,,case rate,,101131,,,,,,,case rate,,101131,,,,,,,case rate,,104165,,,,,,,case rate,,227546,,,,,,,case rate,,98097,227546,
Cardiac defibrillator & heart assist implant,161,APR-DRG,,inpatient,,,237224,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,237224,,,,,,,case rate,,322625,,,,,,,case rate,,237224,,,,,,,case rate,,237224,,,,,,,case rate,,237224,,,,,,,case rate,,272808,,,,,,,case rate,,260947,,,,,,,case rate,,230108,,,,,,,case rate,,237224,,,,,,,case rate,,237224,,,,,,,case rate,,244341,,,,,,,case rate,,533755,,,,,,,case rate,,230108,533755,
Cardiac pacemaker & defibrillator device replacement,176,APR-DRG,,inpatient,,,14727,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14727,,,,,,,case rate,,20029,,,,,,,case rate,,14727,,,,,,,case rate,,14727,,,,,,,case rate,,14727,,,,,,,case rate,,16936,,,,,,,case rate,,16200,,,,,,,case rate,,14286,,,,,,,case rate,,14727,,,,,,,case rate,,14727,,,,,,,case rate,,15169,,,,,,,case rate,,33137,,,,,,,case rate,,14286,33137,
Cardiac pacemaker & defibrillator device replacement,176,APR-DRG,,inpatient,,,27138,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27138,,,,,,,case rate,,36908,,,,,,,case rate,,27138,,,,,,,case rate,,27138,,,,,,,case rate,,27138,,,,,,,case rate,,31209,,,,,,,case rate,,29852,,,,,,,case rate,,26324,,,,,,,case rate,,27138,,,,,,,case rate,,27138,,,,,,,case rate,,27952,,,,,,,case rate,,61061,,,,,,,case rate,,26324,61061,
Cardiac pacemaker & defibrillator device replacement,176,APR-DRG,,inpatient,,,34581,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34581,,,,,,,case rate,,47031,,,,,,,case rate,,34581,,,,,,,case rate,,34581,,,,,,,case rate,,34581,,,,,,,case rate,,39769,,,,,,,case rate,,38039,,,,,,,case rate,,33544,,,,,,,case rate,,34581,,,,,,,case rate,,34581,,,,,,,case rate,,35619,,,,,,,case rate,,77808,,,,,,,case rate,,33544,77808,
Cardiac pacemaker & defibrillator device replacement,176,APR-DRG,,inpatient,,,36498,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36498,,,,,,,case rate,,49638,,,,,,,case rate,,36498,,,,,,,case rate,,36498,,,,,,,case rate,,36498,,,,,,,case rate,,41973,,,,,,,case rate,,40148,,,,,,,case rate,,35403,,,,,,,case rate,,36498,,,,,,,case rate,,36498,,,,,,,case rate,,37593,,,,,,,case rate,,82121,,,,,,,case rate,,35403,82121,
Cardiac pacemaker & defibrillator revision except device replacement,177,APR-DRG,,inpatient,,,14330,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14330,,,,,,,case rate,,19488,,,,,,,case rate,,14330,,,,,,,case rate,,14330,,,,,,,case rate,,14330,,,,,,,case rate,,16479,,,,,,,case rate,,15763,,,,,,,case rate,,13900,,,,,,,case rate,,14330,,,,,,,case rate,,14330,,,,,,,case rate,,14759,,,,,,,case rate,,32242,,,,,,,case rate,,13900,32242,
Cardiac pacemaker & defibrillator revision except device replacement,177,APR-DRG,,inpatient,,,17958,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17958,,,,,,,case rate,,24423,,,,,,,case rate,,17958,,,,,,,case rate,,17958,,,,,,,case rate,,17958,,,,,,,case rate,,20651,,,,,,,case rate,,19753,,,,,,,case rate,,17419,,,,,,,case rate,,17958,,,,,,,case rate,,17958,,,,,,,case rate,,18496,,,,,,,case rate,,40405,,,,,,,case rate,,17419,40405,
Cardiac pacemaker & defibrillator revision except device replacement,177,APR-DRG,,inpatient,,,27551,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27551,,,,,,,case rate,,37470,,,,,,,case rate,,27551,,,,,,,case rate,,27551,,,,,,,case rate,,27551,,,,,,,case rate,,31684,,,,,,,case rate,,30306,,,,,,,case rate,,26725,,,,,,,case rate,,27551,,,,,,,case rate,,27551,,,,,,,case rate,,28378,,,,,,,case rate,,61990,,,,,,,case rate,,26725,61990,
Cardiac pacemaker & defibrillator revision except device replacement,177,APR-DRG,,inpatient,,,65107,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,65107,,,,,,,case rate,,88546,,,,,,,case rate,,65107,,,,,,,case rate,,65107,,,,,,,case rate,,65107,,,,,,,case rate,,74873,,,,,,,case rate,,71618,,,,,,,case rate,,63154,,,,,,,case rate,,65107,,,,,,,case rate,,65107,,,,,,,case rate,,67060,,,,,,,case rate,,146491,,,,,,,case rate,,63154,146491,
Cardiac structural & valvular disorders,200,APR-DRG,,inpatient,,,5214,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5214,,,,,,,case rate,,7091,,,,,,,case rate,,5214,,,,,,,case rate,,5214,,,,,,,case rate,,5214,,,,,,,case rate,,5996,,,,,,,case rate,,5735,,,,,,,case rate,,5058,,,,,,,case rate,,5214,,,,,,,case rate,,5214,,,,,,,case rate,,5370,,,,,,,case rate,,11732,,,,,,,case rate,,5058,11732,
Cardiac structural & valvular disorders,200,APR-DRG,,inpatient,,,7153,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7153,,,,,,,case rate,,9729,,,,,,,case rate,,7153,,,,,,,case rate,,7153,,,,,,,case rate,,7153,,,,,,,case rate,,8227,,,,,,,case rate,,7869,,,,,,,case rate,,6939,,,,,,,case rate,,7153,,,,,,,case rate,,7153,,,,,,,case rate,,7368,,,,,,,case rate,,16095,,,,,,,case rate,,6939,16095,
Cardiac structural & valvular disorders,200,APR-DRG,,inpatient,,,12864,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12864,,,,,,,case rate,,17495,,,,,,,case rate,,12864,,,,,,,case rate,,12864,,,,,,,case rate,,12864,,,,,,,case rate,,14794,,,,,,,case rate,,14150,,,,,,,case rate,,12478,,,,,,,case rate,,12864,,,,,,,case rate,,12864,,,,,,,case rate,,13250,,,,,,,case rate,,28944,,,,,,,case rate,,12478,28944,
Cardiac structural & valvular disorders,200,APR-DRG,,inpatient,,,40490,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40490,,,,,,,case rate,,55067,,,,,,,case rate,,40490,,,,,,,case rate,,40490,,,,,,,case rate,,40490,,,,,,,case rate,,46564,,,,,,,case rate,,44539,,,,,,,case rate,,39275,,,,,,,case rate,,40490,,,,,,,case rate,,40490,,,,,,,case rate,,41705,,,,,,,case rate,,91103,,,,,,,case rate,,39275,91103,
Cardiac valve procedures w AMI or complex PDX,162,APR-DRG,,inpatient,,,35583,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35583,,,,,,,case rate,,48394,,,,,,,case rate,,35583,,,,,,,case rate,,35583,,,,,,,case rate,,35583,,,,,,,case rate,,40921,,,,,,,case rate,,39142,,,,,,,case rate,,34516,,,,,,,case rate,,35583,,,,,,,case rate,,35583,,,,,,,case rate,,36651,,,,,,,case rate,,80063,,,,,,,case rate,,34516,80063,
Cardiac valve procedures w AMI or complex PDX,162,APR-DRG,,inpatient,,,46067,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,46067,,,,,,,case rate,,62651,,,,,,,case rate,,46067,,,,,,,case rate,,46067,,,,,,,case rate,,46067,,,,,,,case rate,,52977,,,,,,,case rate,,50674,,,,,,,case rate,,44685,,,,,,,case rate,,46067,,,,,,,case rate,,46067,,,,,,,case rate,,47449,,,,,,,case rate,,103651,,,,,,,case rate,,44685,103651,
Cardiac valve procedures w AMI or complex PDX,162,APR-DRG,,inpatient,,,58962,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,58962,,,,,,,case rate,,80188,,,,,,,case rate,,58962,,,,,,,case rate,,58962,,,,,,,case rate,,58962,,,,,,,case rate,,67806,,,,,,,case rate,,64858,,,,,,,case rate,,57193,,,,,,,case rate,,58962,,,,,,,case rate,,58962,,,,,,,case rate,,60731,,,,,,,case rate,,132664,,,,,,,case rate,,57193,132664,
Cardiac valve procedures w AMI or complex PDX,162,APR-DRG,,inpatient,,,96456,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,96456,,,,,,,case rate,,131180,,,,,,,case rate,,96456,,,,,,,case rate,,96456,,,,,,,case rate,,96456,,,,,,,case rate,,110924,,,,,,,case rate,,106102,,,,,,,case rate,,93562,,,,,,,case rate,,96456,,,,,,,case rate,,96456,,,,,,,case rate,,99350,,,,,,,case rate,,217026,,,,,,,case rate,,93562,217026,
Cardiac valve procedures w/o AMI or complex PDX,163,APR-DRG,,inpatient,,,31088,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31088,,,,,,,case rate,,42279,,,,,,,case rate,,31088,,,,,,,case rate,,31088,,,,,,,case rate,,31088,,,,,,,case rate,,35751,,,,,,,case rate,,34197,,,,,,,case rate,,30155,,,,,,,case rate,,31088,,,,,,,case rate,,31088,,,,,,,case rate,,32021,,,,,,,case rate,,69948,,,,,,,case rate,,30155,69948,
Cardiac valve procedures w/o AMI or complex PDX,163,APR-DRG,,inpatient,,,38030,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38030,,,,,,,case rate,,51720,,,,,,,case rate,,38030,,,,,,,case rate,,38030,,,,,,,case rate,,38030,,,,,,,case rate,,43734,,,,,,,case rate,,41833,,,,,,,case rate,,36889,,,,,,,case rate,,38030,,,,,,,case rate,,38030,,,,,,,case rate,,39171,,,,,,,case rate,,85567,,,,,,,case rate,,36889,85567,
Cardiac valve procedures w/o AMI or complex PDX,163,APR-DRG,,inpatient,,,46720,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,46720,,,,,,,case rate,,63539,,,,,,,case rate,,46720,,,,,,,case rate,,46720,,,,,,,case rate,,46720,,,,,,,case rate,,53728,,,,,,,case rate,,51392,,,,,,,case rate,,45318,,,,,,,case rate,,46720,,,,,,,case rate,,46720,,,,,,,case rate,,48121,,,,,,,case rate,,105119,,,,,,,case rate,,45318,105119,
Cardiac valve procedures w/o AMI or complex PDX,163,APR-DRG,,inpatient,,,72429,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,72429,,,,,,,case rate,,98504,,,,,,,case rate,,72429,,,,,,,case rate,,72429,,,,,,,case rate,,72429,,,,,,,case rate,,83293,,,,,,,case rate,,79672,,,,,,,case rate,,70256,,,,,,,case rate,,72429,,,,,,,case rate,,72429,,,,,,,case rate,,74602,,,,,,,case rate,,162965,,,,,,,case rate,,70256,162965,
Cardiomyopathy,205,APR-DRG,,inpatient,,,6039,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6039,,,,,,,case rate,,8214,,,,,,,case rate,,6039,,,,,,,case rate,,6039,,,,,,,case rate,,6039,,,,,,,case rate,,6945,,,,,,,case rate,,6643,,,,,,,case rate,,5858,,,,,,,case rate,,6039,,,,,,,case rate,,6039,,,,,,,case rate,,6221,,,,,,,case rate,,13589,,,,,,,case rate,,5858,13589,
Cardiomyopathy,205,APR-DRG,,inpatient,,,7670,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7670,,,,,,,case rate,,10432,,,,,,,case rate,,7670,,,,,,,case rate,,7670,,,,,,,case rate,,7670,,,,,,,case rate,,8821,,,,,,,case rate,,8438,,,,,,,case rate,,7440,,,,,,,case rate,,7670,,,,,,,case rate,,7670,,,,,,,case rate,,7901,,,,,,,case rate,,17259,,,,,,,case rate,,7440,17259,
Cardiomyopathy,205,APR-DRG,,inpatient,,,14938,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14938,,,,,,,case rate,,20316,,,,,,,case rate,,14938,,,,,,,case rate,,14938,,,,,,,case rate,,14938,,,,,,,case rate,,17179,,,,,,,case rate,,16432,,,,,,,case rate,,14490,,,,,,,case rate,,14938,,,,,,,case rate,,14938,,,,,,,case rate,,15386,,,,,,,case rate,,33611,,,,,,,case rate,,14490,33611,
Cardiomyopathy,205,APR-DRG,,inpatient,,,18214,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18214,,,,,,,case rate,,24771,,,,,,,case rate,,18214,,,,,,,case rate,,18214,,,,,,,case rate,,18214,,,,,,,case rate,,20946,,,,,,,case rate,,20035,,,,,,,case rate,,17667,,,,,,,case rate,,18214,,,,,,,case rate,,18214,,,,,,,case rate,,18760,,,,,,,case rate,,40981,,,,,,,case rate,,17667,40981,
Cellulitis & other skin infections,383,APR-DRG,,inpatient,,,5191,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5191,,,,,,,case rate,,7060,,,,,,,case rate,,5191,,,,,,,case rate,,5191,,,,,,,case rate,,5191,,,,,,,case rate,,5970,,,,,,,case rate,,5711,,,,,,,case rate,,5036,,,,,,,case rate,,5191,,,,,,,case rate,,5191,,,,,,,case rate,,5347,,,,,,,case rate,,11681,,,,,,,case rate,,5036,11681,
Cellulitis & other skin infections,383,APR-DRG,,inpatient,,,7032,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7032,,,,,,,case rate,,9564,,,,,,,case rate,,7032,,,,,,,case rate,,7032,,,,,,,case rate,,7032,,,,,,,case rate,,8087,,,,,,,case rate,,7735,,,,,,,case rate,,6821,,,,,,,case rate,,7032,,,,,,,case rate,,7032,,,,,,,case rate,,7243,,,,,,,case rate,,15822,,,,,,,case rate,,6821,15822,
Cellulitis & other skin infections,383,APR-DRG,,inpatient,,,12148,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12148,,,,,,,case rate,,16521,,,,,,,case rate,,12148,,,,,,,case rate,,12148,,,,,,,case rate,,12148,,,,,,,case rate,,13970,,,,,,,case rate,,13362,,,,,,,case rate,,11783,,,,,,,case rate,,12148,,,,,,,case rate,,12148,,,,,,,case rate,,12512,,,,,,,case rate,,27332,,,,,,,case rate,,11783,27332,
Cellulitis & other skin infections,383,APR-DRG,,inpatient,,,28713,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28713,,,,,,,case rate,,39049,,,,,,,case rate,,28713,,,,,,,case rate,,28713,,,,,,,case rate,,28713,,,,,,,case rate,,33020,,,,,,,case rate,,31584,,,,,,,case rate,,27851,,,,,,,case rate,,28713,,,,,,,case rate,,28713,,,,,,,case rate,,29574,,,,,,,case rate,,64603,,,,,,,case rate,,27851,64603,
Cervical spinal fusion & other back/neck proc exc disc excis/decomp,321,APR-DRG,,inpatient,,,16771,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16771,,,,,,,case rate,,22808,,,,,,,case rate,,16771,,,,,,,case rate,,16771,,,,,,,case rate,,16771,,,,,,,case rate,,19286,,,,,,,case rate,,18448,,,,,,,case rate,,16267,,,,,,,case rate,,16771,,,,,,,case rate,,16771,,,,,,,case rate,,17274,,,,,,,case rate,,37734,,,,,,,case rate,,16267,37734,
Cervical spinal fusion & other back/neck proc exc disc excis/decomp,321,APR-DRG,,inpatient,,,22068,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22068,,,,,,,case rate,,30012,,,,,,,case rate,,22068,,,,,,,case rate,,22068,,,,,,,case rate,,22068,,,,,,,case rate,,25378,,,,,,,case rate,,24275,,,,,,,case rate,,21406,,,,,,,case rate,,22068,,,,,,,case rate,,22068,,,,,,,case rate,,22730,,,,,,,case rate,,49653,,,,,,,case rate,,21406,49653,
Cervical spinal fusion & other back/neck proc exc disc excis/decomp,321,APR-DRG,,inpatient,,,38055,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38055,,,,,,,case rate,,51755,,,,,,,case rate,,38055,,,,,,,case rate,,38055,,,,,,,case rate,,38055,,,,,,,case rate,,43764,,,,,,,case rate,,41861,,,,,,,case rate,,36914,,,,,,,case rate,,38055,,,,,,,case rate,,38055,,,,,,,case rate,,39197,,,,,,,case rate,,85624,,,,,,,case rate,,36914,85624,
Cervical spinal fusion & other back/neck proc exc disc excis/decomp,321,APR-DRG,,inpatient,,,72606,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,72606,,,,,,,case rate,,98744,,,,,,,case rate,,72606,,,,,,,case rate,,72606,,,,,,,case rate,,72606,,,,,,,case rate,,83497,,,,,,,case rate,,79866,,,,,,,case rate,,70428,,,,,,,case rate,,72606,,,,,,,case rate,,72606,,,,,,,case rate,,74784,,,,,,,case rate,,163363,,,,,,,case rate,,70428,163363,
Cesarean delivery,540,APR-DRG,,inpatient,,,8234,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8234,,,,,,,case rate,,11198,,,,,,,case rate,,8234,,,,,,,case rate,,8234,,,,,,,case rate,,8234,,,,,,,case rate,,9469,,,,,,,case rate,,9057,,,,,,,case rate,,7987,,,,,,,case rate,,8234,,,,,,,case rate,,8234,,,,,,,case rate,,8481,,,,,,,case rate,,18526,,,,,,,case rate,,7987,18526,
Cesarean delivery,540,APR-DRG,,inpatient,,,9442,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9442,,,,,,,case rate,,12842,,,,,,,case rate,,9442,,,,,,,case rate,,9442,,,,,,,case rate,,9442,,,,,,,case rate,,10859,,,,,,,case rate,,10387,,,,,,,case rate,,9159,,,,,,,case rate,,9442,,,,,,,case rate,,9442,,,,,,,case rate,,9726,,,,,,,case rate,,21245,,,,,,,case rate,,9159,21245,
Cesarean delivery,540,APR-DRG,,inpatient,,,12091,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12091,,,,,,,case rate,,16444,,,,,,,case rate,,12091,,,,,,,case rate,,12091,,,,,,,case rate,,12091,,,,,,,case rate,,13905,,,,,,,case rate,,13300,,,,,,,case rate,,11728,,,,,,,case rate,,12091,,,,,,,case rate,,12091,,,,,,,case rate,,12454,,,,,,,case rate,,27205,,,,,,,case rate,,11728,27205,
Cesarean delivery,540,APR-DRG,,inpatient,,,27808,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27808,,,,,,,case rate,,37819,,,,,,,case rate,,27808,,,,,,,case rate,,27808,,,,,,,case rate,,27808,,,,,,,case rate,,31979,,,,,,,case rate,,30589,,,,,,,case rate,,26974,,,,,,,case rate,,27808,,,,,,,case rate,,27808,,,,,,,case rate,,28642,,,,,,,case rate,,62568,,,,,,,case rate,,26974,62568,
Chemotherapy for acute leukemia #,695,APR-DRG,,inpatient,,,9301,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9301,,,,,,,case rate,,12649,,,,,,,case rate,,9301,,,,,,,case rate,,9301,,,,,,,case rate,,9301,,,,,,,case rate,,10696,,,,,,,case rate,,10231,,,,,,,case rate,,9022,,,,,,,case rate,,9301,,,,,,,case rate,,9301,,,,,,,case rate,,9580,,,,,,,case rate,,20926,,,,,,,case rate,,9022,20926,
Chemotherapy for acute leukemia #,695,APR-DRG,,inpatient,,,9314,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9314,,,,,,,case rate,,12667,,,,,,,case rate,,9314,,,,,,,case rate,,9314,,,,,,,case rate,,9314,,,,,,,case rate,,10711,,,,,,,case rate,,10245,,,,,,,case rate,,9035,,,,,,,case rate,,9314,,,,,,,case rate,,9314,,,,,,,case rate,,9593,,,,,,,case rate,,20956,,,,,,,case rate,,9035,20956,
Chemotherapy for acute leukemia #,695,APR-DRG,,inpatient,,,25058,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25058,,,,,,,case rate,,34079,,,,,,,case rate,,25058,,,,,,,case rate,,25058,,,,,,,case rate,,25058,,,,,,,case rate,,28816,,,,,,,case rate,,27564,,,,,,,case rate,,24306,,,,,,,case rate,,25058,,,,,,,case rate,,25058,,,,,,,case rate,,25809,,,,,,,case rate,,56380,,,,,,,case rate,,24306,56380,
Chemotherapy for acute leukemia #,695,APR-DRG,,inpatient,,,75922,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,75922,,,,,,,case rate,,103253,,,,,,,case rate,,75922,,,,,,,case rate,,75922,,,,,,,case rate,,75922,,,,,,,case rate,,87310,,,,,,,case rate,,83514,,,,,,,case rate,,73644,,,,,,,case rate,,75922,,,,,,,case rate,,75922,,,,,,,case rate,,78199,,,,,,,case rate,,170823,,,,,,,case rate,,73644,170823,
Chest pain,203,APR-DRG,,inpatient,,,4047,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4047,,,,,,,case rate,,5505,,,,,,,case rate,,4047,,,,,,,case rate,,4047,,,,,,,case rate,,4047,,,,,,,case rate,,4655,,,,,,,case rate,,4452,,,,,,,case rate,,3926,,,,,,,case rate,,4047,,,,,,,case rate,,4047,,,,,,,case rate,,4169,,,,,,,case rate,,9107,,,,,,,case rate,,3926,9107,
Chest pain,203,APR-DRG,,inpatient,,,5050,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5050,,,,,,,case rate,,6867,,,,,,,case rate,,5050,,,,,,,case rate,,5050,,,,,,,case rate,,5050,,,,,,,case rate,,5807,,,,,,,case rate,,5555,,,,,,,case rate,,4898,,,,,,,case rate,,5050,,,,,,,case rate,,5050,,,,,,,case rate,,5201,,,,,,,case rate,,11362,,,,,,,case rate,,4898,11362,
Chest pain,203,APR-DRG,,inpatient,,,7255,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7255,,,,,,,case rate,,9867,,,,,,,case rate,,7255,,,,,,,case rate,,7255,,,,,,,case rate,,7255,,,,,,,case rate,,8344,,,,,,,case rate,,7981,,,,,,,case rate,,7038,,,,,,,case rate,,7255,,,,,,,case rate,,7255,,,,,,,case rate,,7473,,,,,,,case rate,,16324,,,,,,,case rate,,7038,16324,
Chest pain,203,APR-DRG,,inpatient,,,24207,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24207,,,,,,,case rate,,32921,,,,,,,case rate,,24207,,,,,,,case rate,,24207,,,,,,,case rate,,24207,,,,,,,case rate,,27838,,,,,,,case rate,,26627,,,,,,,case rate,,23481,,,,,,,case rate,,24207,,,,,,,case rate,,24207,,,,,,,case rate,,24933,,,,,,,case rate,,54465,,,,,,,case rate,,23481,54465,
Cholecystectomy except laparoscopic,262,APR-DRG,,inpatient,,,13502,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13502,,,,,,,case rate,,18363,,,,,,,case rate,,13502,,,,,,,case rate,,13502,,,,,,,case rate,,13502,,,,,,,case rate,,15528,,,,,,,case rate,,14852,,,,,,,case rate,,13097,,,,,,,case rate,,13502,,,,,,,case rate,,13502,,,,,,,case rate,,13907,,,,,,,case rate,,30380,,,,,,,case rate,,13097,30380,
Cholecystectomy except laparoscopic,262,APR-DRG,,inpatient,,,16501,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16501,,,,,,,case rate,,22442,,,,,,,case rate,,16501,,,,,,,case rate,,16501,,,,,,,case rate,,16501,,,,,,,case rate,,18977,,,,,,,case rate,,18151,,,,,,,case rate,,16006,,,,,,,case rate,,16501,,,,,,,case rate,,16501,,,,,,,case rate,,16996,,,,,,,case rate,,37128,,,,,,,case rate,,16006,37128,
Cholecystectomy except laparoscopic,262,APR-DRG,,inpatient,,,28131,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28131,,,,,,,case rate,,38258,,,,,,,case rate,,28131,,,,,,,case rate,,28131,,,,,,,case rate,,28131,,,,,,,case rate,,32351,,,,,,,case rate,,30944,,,,,,,case rate,,27287,,,,,,,case rate,,28131,,,,,,,case rate,,28131,,,,,,,case rate,,28975,,,,,,,case rate,,63294,,,,,,,case rate,,27287,63294,
Cholecystectomy except laparoscopic,262,APR-DRG,,inpatient,,,62219,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62219,,,,,,,case rate,,84618,,,,,,,case rate,,62219,,,,,,,case rate,,62219,,,,,,,case rate,,62219,,,,,,,case rate,,71552,,,,,,,case rate,,68441,,,,,,,case rate,,60352,,,,,,,case rate,,62219,,,,,,,case rate,,62219,,,,,,,case rate,,64085,,,,,,,case rate,,139993,,,,,,,case rate,,60352,139993,
Chronic Kidney Disease #,470,APR-DRG,,inpatient,,,4920,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4920,,,,,,,case rate,,6691,,,,,,,case rate,,4920,,,,,,,case rate,,4920,,,,,,,case rate,,4920,,,,,,,case rate,,5658,,,,,,,case rate,,5412,,,,,,,case rate,,4772,,,,,,,case rate,,4920,,,,,,,case rate,,4920,,,,,,,case rate,,5068,,,,,,,case rate,,11070,,,,,,,case rate,,4772,11070,
Chronic Kidney Disease #,470,APR-DRG,,inpatient,,,7023,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7023,,,,,,,case rate,,9551,,,,,,,case rate,,7023,,,,,,,case rate,,7023,,,,,,,case rate,,7023,,,,,,,case rate,,8076,,,,,,,case rate,,7725,,,,,,,case rate,,6812,,,,,,,case rate,,7023,,,,,,,case rate,,7023,,,,,,,case rate,,7234,,,,,,,case rate,,15802,,,,,,,case rate,,6812,15802,
Chronic Kidney Disease #,470,APR-DRG,,inpatient,,,12252,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12252,,,,,,,case rate,,16663,,,,,,,case rate,,12252,,,,,,,case rate,,12252,,,,,,,case rate,,12252,,,,,,,case rate,,14090,,,,,,,case rate,,13478,,,,,,,case rate,,11885,,,,,,,case rate,,12252,,,,,,,case rate,,12252,,,,,,,case rate,,12620,,,,,,,case rate,,27568,,,,,,,case rate,,11885,27568,
Chronic Kidney Disease #,470,APR-DRG,,inpatient,,,27300,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27300,,,,,,,case rate,,37129,,,,,,,case rate,,27300,,,,,,,case rate,,27300,,,,,,,case rate,,27300,,,,,,,case rate,,31395,,,,,,,case rate,,30030,,,,,,,case rate,,26481,,,,,,,case rate,,27300,,,,,,,case rate,,27300,,,,,,,case rate,,28119,,,,,,,case rate,,61426,,,,,,,case rate,,26481,61426,
Chronic obstructive pulmonary disease,140,APR-DRG,,inpatient,,,5911,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5911,,,,,,,case rate,,8039,,,,,,,case rate,,5911,,,,,,,case rate,,5911,,,,,,,case rate,,5911,,,,,,,case rate,,6798,,,,,,,case rate,,6502,,,,,,,case rate,,5734,,,,,,,case rate,,5911,,,,,,,case rate,,5911,,,,,,,case rate,,6088,,,,,,,case rate,,13299,,,,,,,case rate,,5734,13299,
Chronic obstructive pulmonary disease,140,APR-DRG,,inpatient,,,7421,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7421,,,,,,,case rate,,10092,,,,,,,case rate,,7421,,,,,,,case rate,,7421,,,,,,,case rate,,7421,,,,,,,case rate,,8534,,,,,,,case rate,,8163,,,,,,,case rate,,7198,,,,,,,case rate,,7421,,,,,,,case rate,,7421,,,,,,,case rate,,7643,,,,,,,case rate,,16697,,,,,,,case rate,,7198,16697,
Chronic obstructive pulmonary disease,140,APR-DRG,,inpatient,,,10404,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10404,,,,,,,case rate,,14150,,,,,,,case rate,,10404,,,,,,,case rate,,10404,,,,,,,case rate,,10404,,,,,,,case rate,,11965,,,,,,,case rate,,11445,,,,,,,case rate,,10092,,,,,,,case rate,,10404,,,,,,,case rate,,10404,,,,,,,case rate,,10717,,,,,,,case rate,,23410,,,,,,,case rate,,10092,23410,
Chronic obstructive pulmonary disease,140,APR-DRG,,inpatient,,,20252,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20252,,,,,,,case rate,,27542,,,,,,,case rate,,20252,,,,,,,case rate,,20252,,,,,,,case rate,,20252,,,,,,,case rate,,23290,,,,,,,case rate,,22277,,,,,,,case rate,,19644,,,,,,,case rate,,20252,,,,,,,case rate,,20252,,,,,,,case rate,,20859,,,,,,,case rate,,45566,,,,,,,case rate,,19644,45566,
Cleft lip & palate repair,95,APR-DRG,,inpatient,,,7368,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7368,,,,,,,case rate,,10021,,,,,,,case rate,,7368,,,,,,,case rate,,7368,,,,,,,case rate,,7368,,,,,,,case rate,,8474,,,,,,,case rate,,8105,,,,,,,case rate,,7147,,,,,,,case rate,,7368,,,,,,,case rate,,7368,,,,,,,case rate,,7589,,,,,,,case rate,,16579,,,,,,,case rate,,7147,16579,
Cleft lip & palate repair,95,APR-DRG,,inpatient,,,9322,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9322,,,,,,,case rate,,12678,,,,,,,case rate,,9322,,,,,,,case rate,,9322,,,,,,,case rate,,9322,,,,,,,case rate,,10720,,,,,,,case rate,,10254,,,,,,,case rate,,9042,,,,,,,case rate,,9322,,,,,,,case rate,,9322,,,,,,,case rate,,9602,,,,,,,case rate,,20975,,,,,,,case rate,,9042,20975,
Cleft lip & palate repair,95,APR-DRG,,inpatient,,,14249,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14249,,,,,,,case rate,,19379,,,,,,,case rate,,14249,,,,,,,case rate,,14249,,,,,,,case rate,,14249,,,,,,,case rate,,16387,,,,,,,case rate,,15674,,,,,,,case rate,,13822,,,,,,,case rate,,14249,,,,,,,case rate,,14249,,,,,,,case rate,,14677,,,,,,,case rate,,32061,,,,,,,case rate,,13822,32061,
Cleft lip & palate repair,95,APR-DRG,,inpatient,,,26142,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26142,,,,,,,case rate,,35553,,,,,,,case rate,,26142,,,,,,,case rate,,26142,,,,,,,case rate,,26142,,,,,,,case rate,,30063,,,,,,,case rate,,28756,,,,,,,case rate,,25358,,,,,,,case rate,,26142,,,,,,,case rate,,26142,,,,,,,case rate,,26926,,,,,,,case rate,,58820,,,,,,,case rate,,25358,58820,
Coagulation & platelet disorders,661,APR-DRG,,inpatient,,,10377,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10377,,,,,,,case rate,,14112,,,,,,,case rate,,10377,,,,,,,case rate,,10377,,,,,,,case rate,,10377,,,,,,,case rate,,11933,,,,,,,case rate,,11414,,,,,,,case rate,,10065,,,,,,,case rate,,10377,,,,,,,case rate,,10377,,,,,,,case rate,,10688,,,,,,,case rate,,23348,,,,,,,case rate,,10065,23348,
Coagulation & platelet disorders,661,APR-DRG,,inpatient,,,12188,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12188,,,,,,,case rate,,16575,,,,,,,case rate,,12188,,,,,,,case rate,,12188,,,,,,,case rate,,12188,,,,,,,case rate,,14016,,,,,,,case rate,,13406,,,,,,,case rate,,11822,,,,,,,case rate,,12188,,,,,,,case rate,,12188,,,,,,,case rate,,12553,,,,,,,case rate,,27422,,,,,,,case rate,,11822,27422,
Coagulation & platelet disorders,661,APR-DRG,,inpatient,,,20102,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20102,,,,,,,case rate,,27338,,,,,,,case rate,,20102,,,,,,,case rate,,20102,,,,,,,case rate,,20102,,,,,,,case rate,,23117,,,,,,,case rate,,22112,,,,,,,case rate,,19499,,,,,,,case rate,,20102,,,,,,,case rate,,20102,,,,,,,case rate,,20705,,,,,,,case rate,,45229,,,,,,,case rate,,19499,45229,
Coagulation & platelet disorders,661,APR-DRG,,inpatient,,,46930,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,46930,,,,,,,case rate,,63825,,,,,,,case rate,,46930,,,,,,,case rate,,46930,,,,,,,case rate,,46930,,,,,,,case rate,,53970,,,,,,,case rate,,51623,,,,,,,case rate,,45522,,,,,,,case rate,,46930,,,,,,,case rate,,46930,,,,,,,case rate,,48338,,,,,,,case rate,,105593,,,,,,,case rate,,45522,105593,
Cocaine abuse & dependence,774,APR-DRG,,inpatient,,,5094,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5094,,,,,,,case rate,,6928,,,,,,,case rate,,5094,,,,,,,case rate,,5094,,,,,,,case rate,,5094,,,,,,,case rate,,5858,,,,,,,case rate,,5603,,,,,,,case rate,,4941,,,,,,,case rate,,5094,,,,,,,case rate,,5094,,,,,,,case rate,,5247,,,,,,,case rate,,11461,,,,,,,case rate,,4941,11461,
Cocaine abuse & dependence,774,APR-DRG,,inpatient,,,5145,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5145,,,,,,,case rate,,6997,,,,,,,case rate,,5145,,,,,,,case rate,,5145,,,,,,,case rate,,5145,,,,,,,case rate,,5917,,,,,,,case rate,,5660,,,,,,,case rate,,4991,,,,,,,case rate,,5145,,,,,,,case rate,,5145,,,,,,,case rate,,5300,,,,,,,case rate,,11577,,,,,,,case rate,,4991,11577,
Cocaine abuse & dependence,774,APR-DRG,,inpatient,,,8312,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8312,,,,,,,case rate,,11304,,,,,,,case rate,,8312,,,,,,,case rate,,8312,,,,,,,case rate,,8312,,,,,,,case rate,,9559,,,,,,,case rate,,9143,,,,,,,case rate,,8062,,,,,,,case rate,,8312,,,,,,,case rate,,8312,,,,,,,case rate,,8561,,,,,,,case rate,,18702,,,,,,,case rate,,8062,18702,
Cocaine abuse & dependence,774,APR-DRG,,inpatient,,,10380,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10380,,,,,,,case rate,,14116,,,,,,,case rate,,10380,,,,,,,case rate,,10380,,,,,,,case rate,,10380,,,,,,,case rate,,11937,,,,,,,case rate,,11418,,,,,,,case rate,,10068,,,,,,,case rate,,10380,,,,,,,case rate,,10380,,,,,,,case rate,,10691,,,,,,,case rate,,23354,,,,,,,case rate,,10068,23354,
"Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma",57,APR-DRG,,inpatient,,,4079,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4079,,,,,,,case rate,,5548,,,,,,,case rate,,4079,,,,,,,case rate,,4079,,,,,,,case rate,,4079,,,,,,,case rate,,4691,,,,,,,case rate,,4487,,,,,,,case rate,,3957,,,,,,,case rate,,4079,,,,,,,case rate,,4079,,,,,,,case rate,,4202,,,,,,,case rate,,9179,,,,,,,case rate,,3957,9179,
"Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma",57,APR-DRG,,inpatient,,,5549,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5549,,,,,,,case rate,,7547,,,,,,,case rate,,5549,,,,,,,case rate,,5549,,,,,,,case rate,,5549,,,,,,,case rate,,6381,,,,,,,case rate,,6104,,,,,,,case rate,,5383,,,,,,,case rate,,5549,,,,,,,case rate,,5549,,,,,,,case rate,,5716,,,,,,,case rate,,12485,,,,,,,case rate,,5383,12485,
"Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma",57,APR-DRG,,inpatient,,,9953,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9953,,,,,,,case rate,,13536,,,,,,,case rate,,9953,,,,,,,case rate,,9953,,,,,,,case rate,,9953,,,,,,,case rate,,11446,,,,,,,case rate,,10949,,,,,,,case rate,,9655,,,,,,,case rate,,9953,,,,,,,case rate,,9953,,,,,,,case rate,,10252,,,,,,,case rate,,22395,,,,,,,case rate,,9655,22395,
"Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma",57,APR-DRG,,inpatient,,,30359,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30359,,,,,,,case rate,,41288,,,,,,,case rate,,30359,,,,,,,case rate,,30359,,,,,,,case rate,,30359,,,,,,,case rate,,34913,,,,,,,case rate,,33395,,,,,,,case rate,,29448,,,,,,,case rate,,30359,,,,,,,case rate,,30359,,,,,,,case rate,,31270,,,,,,,case rate,,68308,,,,,,,case rate,,29448,68308,
Connective tissue disorders,346,APR-DRG,,inpatient,,,7518,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7518,,,,,,,case rate,,10225,,,,,,,case rate,,7518,,,,,,,case rate,,7518,,,,,,,case rate,,7518,,,,,,,case rate,,8646,,,,,,,case rate,,8270,,,,,,,case rate,,7293,,,,,,,case rate,,7518,,,,,,,case rate,,7518,,,,,,,case rate,,7744,,,,,,,case rate,,16916,,,,,,,case rate,,7293,16916,
Connective tissue disorders,346,APR-DRG,,inpatient,,,9889,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9889,,,,,,,case rate,,13450,,,,,,,case rate,,9889,,,,,,,case rate,,9889,,,,,,,case rate,,9889,,,,,,,case rate,,11373,,,,,,,case rate,,10878,,,,,,,case rate,,9593,,,,,,,case rate,,9889,,,,,,,case rate,,9889,,,,,,,case rate,,10186,,,,,,,case rate,,22251,,,,,,,case rate,,9593,22251,
Connective tissue disorders,346,APR-DRG,,inpatient,,,17091,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17091,,,,,,,case rate,,23244,,,,,,,case rate,,17091,,,,,,,case rate,,17091,,,,,,,case rate,,17091,,,,,,,case rate,,19655,,,,,,,case rate,,18800,,,,,,,case rate,,16579,,,,,,,case rate,,17091,,,,,,,case rate,,17091,,,,,,,case rate,,17604,,,,,,,case rate,,38455,,,,,,,case rate,,16579,38455,
Connective tissue disorders,346,APR-DRG,,inpatient,,,50100,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,50100,,,,,,,case rate,,68136,,,,,,,case rate,,50100,,,,,,,case rate,,50100,,,,,,,case rate,,50100,,,,,,,case rate,,57615,,,,,,,case rate,,55110,,,,,,,case rate,,48597,,,,,,,case rate,,50100,,,,,,,case rate,,50100,,,,,,,case rate,,51603,,,,,,,case rate,,112725,,,,,,,case rate,,48597,112725,
"Contusion, open wound & other trauma to skin & subcutaneous tissue",384,APR-DRG,,inpatient,,,4243,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4243,,,,,,,case rate,,5770,,,,,,,case rate,,4243,,,,,,,case rate,,4243,,,,,,,case rate,,4243,,,,,,,case rate,,4879,,,,,,,case rate,,4667,,,,,,,case rate,,4115,,,,,,,case rate,,4243,,,,,,,case rate,,4243,,,,,,,case rate,,4370,,,,,,,case rate,,9546,,,,,,,case rate,,4115,9546,
"Contusion, open wound & other trauma to skin & subcutaneous tissue",384,APR-DRG,,inpatient,,,5953,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5953,,,,,,,case rate,,8096,,,,,,,case rate,,5953,,,,,,,case rate,,5953,,,,,,,case rate,,5953,,,,,,,case rate,,6846,,,,,,,case rate,,6548,,,,,,,case rate,,5774,,,,,,,case rate,,5953,,,,,,,case rate,,5953,,,,,,,case rate,,6132,,,,,,,case rate,,13394,,,,,,,case rate,,5774,13394,
"Contusion, open wound & other trauma to skin & subcutaneous tissue",384,APR-DRG,,inpatient,,,10414,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10414,,,,,,,case rate,,14163,,,,,,,case rate,,10414,,,,,,,case rate,,10414,,,,,,,case rate,,10414,,,,,,,case rate,,11976,,,,,,,case rate,,11455,,,,,,,case rate,,10101,,,,,,,case rate,,10414,,,,,,,case rate,,10414,,,,,,,case rate,,10726,,,,,,,case rate,,23431,,,,,,,case rate,,10101,23431,
"Contusion, open wound & other trauma to skin & subcutaneous tissue",384,APR-DRG,,inpatient,,,18908,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18908,,,,,,,case rate,,25715,,,,,,,case rate,,18908,,,,,,,case rate,,18908,,,,,,,case rate,,18908,,,,,,,case rate,,21745,,,,,,,case rate,,20799,,,,,,,case rate,,18341,,,,,,,case rate,,18908,,,,,,,case rate,,18908,,,,,,,case rate,,19476,,,,,,,case rate,,42544,,,,,,,case rate,,18341,42544,
Coronary bypass w AMI or complex PDX,165,APR-DRG,,inpatient,,,40429,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40429,,,,,,,case rate,,54983,,,,,,,case rate,,40429,,,,,,,case rate,,40429,,,,,,,case rate,,40429,,,,,,,case rate,,46493,,,,,,,case rate,,44471,,,,,,,case rate,,39216,,,,,,,case rate,,40429,,,,,,,case rate,,40429,,,,,,,case rate,,41641,,,,,,,case rate,,90964,,,,,,,case rate,,39216,90964,
Coronary bypass w AMI or complex PDX,165,APR-DRG,,inpatient,,,40567,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40567,,,,,,,case rate,,55171,,,,,,,case rate,,40567,,,,,,,case rate,,40567,,,,,,,case rate,,40567,,,,,,,case rate,,46652,,,,,,,case rate,,44624,,,,,,,case rate,,39350,,,,,,,case rate,,40567,,,,,,,case rate,,40567,,,,,,,case rate,,41784,,,,,,,case rate,,91276,,,,,,,case rate,,39350,91276,
Coronary bypass w AMI or complex PDX,165,APR-DRG,,inpatient,,,49965,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,49965,,,,,,,case rate,,67953,,,,,,,case rate,,49965,,,,,,,case rate,,49965,,,,,,,case rate,,49965,,,,,,,case rate,,57460,,,,,,,case rate,,54962,,,,,,,case rate,,48467,,,,,,,case rate,,49965,,,,,,,case rate,,49965,,,,,,,case rate,,51464,,,,,,,case rate,,112422,,,,,,,case rate,,48467,112422,
Coronary bypass w AMI or complex PDX,165,APR-DRG,,inpatient,,,72733,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,72733,,,,,,,case rate,,98917,,,,,,,case rate,,72733,,,,,,,case rate,,72733,,,,,,,case rate,,72733,,,,,,,case rate,,83643,,,,,,,case rate,,80007,,,,,,,case rate,,70551,,,,,,,case rate,,72733,,,,,,,case rate,,72733,,,,,,,case rate,,74915,,,,,,,case rate,,163650,,,,,,,case rate,,70551,163650,
Coronary bypass w/o AMI or complex PDX,166,APR-DRG,,inpatient,,,30872,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30872,,,,,,,case rate,,41986,,,,,,,case rate,,30872,,,,,,,case rate,,30872,,,,,,,case rate,,30872,,,,,,,case rate,,35503,,,,,,,case rate,,33959,,,,,,,case rate,,29946,,,,,,,case rate,,30872,,,,,,,case rate,,30872,,,,,,,case rate,,31798,,,,,,,case rate,,69462,,,,,,,case rate,,29946,69462,
Coronary bypass w/o AMI or complex PDX,166,APR-DRG,,inpatient,,,33523,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33523,,,,,,,case rate,,45591,,,,,,,case rate,,33523,,,,,,,case rate,,33523,,,,,,,case rate,,33523,,,,,,,case rate,,38551,,,,,,,case rate,,36875,,,,,,,case rate,,32517,,,,,,,case rate,,33523,,,,,,,case rate,,33523,,,,,,,case rate,,34528,,,,,,,case rate,,75426,,,,,,,case rate,,32517,75426,
Coronary bypass w/o AMI or complex PDX,166,APR-DRG,,inpatient,,,41274,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41274,,,,,,,case rate,,56133,,,,,,,case rate,,41274,,,,,,,case rate,,41274,,,,,,,case rate,,41274,,,,,,,case rate,,47466,,,,,,,case rate,,45402,,,,,,,case rate,,40036,,,,,,,case rate,,41274,,,,,,,case rate,,41274,,,,,,,case rate,,42513,,,,,,,case rate,,92867,,,,,,,case rate,,40036,92867,
Coronary bypass w/o AMI or complex PDX,166,APR-DRG,,inpatient,,,64044,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64044,,,,,,,case rate,,87100,,,,,,,case rate,,64044,,,,,,,case rate,,64044,,,,,,,case rate,,64044,,,,,,,case rate,,73651,,,,,,,case rate,,70449,,,,,,,case rate,,62123,,,,,,,case rate,,64044,,,,,,,case rate,,64044,,,,,,,case rate,,65966,,,,,,,case rate,,144100,,,,,,,case rate,,62123,144100,
Craniotomy except for trauma,21,APR-DRG,,inpatient,,,19468,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19468,,,,,,,case rate,,26476,,,,,,,case rate,,19468,,,,,,,case rate,,19468,,,,,,,case rate,,19468,,,,,,,case rate,,22388,,,,,,,case rate,,21414,,,,,,,case rate,,18884,,,,,,,case rate,,19468,,,,,,,case rate,,19468,,,,,,,case rate,,20052,,,,,,,case rate,,43802,,,,,,,case rate,,18884,43802,
Craniotomy except for trauma,21,APR-DRG,,inpatient,,,27516,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27516,,,,,,,case rate,,37422,,,,,,,case rate,,27516,,,,,,,case rate,,27516,,,,,,,case rate,,27516,,,,,,,case rate,,31644,,,,,,,case rate,,30268,,,,,,,case rate,,26691,,,,,,,case rate,,27516,,,,,,,case rate,,27516,,,,,,,case rate,,28342,,,,,,,case rate,,61912,,,,,,,case rate,,26691,61912,
Craniotomy except for trauma,21,APR-DRG,,inpatient,,,44523,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,44523,,,,,,,case rate,,60552,,,,,,,case rate,,44523,,,,,,,case rate,,44523,,,,,,,case rate,,44523,,,,,,,case rate,,51202,,,,,,,case rate,,48976,,,,,,,case rate,,43188,,,,,,,case rate,,44523,,,,,,,case rate,,44523,,,,,,,case rate,,45859,,,,,,,case rate,,100177,,,,,,,case rate,,43188,100177,
Craniotomy except for trauma,21,APR-DRG,,inpatient,,,74427,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,74427,,,,,,,case rate,,101221,,,,,,,case rate,,74427,,,,,,,case rate,,74427,,,,,,,case rate,,74427,,,,,,,case rate,,85591,,,,,,,case rate,,81870,,,,,,,case rate,,72194,,,,,,,case rate,,74427,,,,,,,case rate,,74427,,,,,,,case rate,,76660,,,,,,,case rate,,167461,,,,,,,case rate,,72194,167461,
Craniotomy for multiple significant trauma,910,APR-DRG,,inpatient,,,38639,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38639,,,,,,,case rate,,52549,,,,,,,case rate,,38639,,,,,,,case rate,,38639,,,,,,,case rate,,38639,,,,,,,case rate,,44435,,,,,,,case rate,,42503,,,,,,,case rate,,37480,,,,,,,case rate,,38639,,,,,,,case rate,,38639,,,,,,,case rate,,39798,,,,,,,case rate,,86938,,,,,,,case rate,,37480,86938,
Craniotomy for multiple significant trauma,910,APR-DRG,,inpatient,,,38639,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38639,,,,,,,case rate,,52549,,,,,,,case rate,,38639,,,,,,,case rate,,38639,,,,,,,case rate,,38639,,,,,,,case rate,,44435,,,,,,,case rate,,42503,,,,,,,case rate,,37480,,,,,,,case rate,,38639,,,,,,,case rate,,38639,,,,,,,case rate,,39798,,,,,,,case rate,,86938,,,,,,,case rate,,37480,86938,
Craniotomy for multiple significant trauma,910,APR-DRG,,inpatient,,,39849,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39849,,,,,,,case rate,,54194,,,,,,,case rate,,39849,,,,,,,case rate,,39849,,,,,,,case rate,,39849,,,,,,,case rate,,45826,,,,,,,case rate,,43834,,,,,,,case rate,,38653,,,,,,,case rate,,39849,,,,,,,case rate,,39849,,,,,,,case rate,,41044,,,,,,,case rate,,89660,,,,,,,case rate,,38653,89660,
Craniotomy for multiple significant trauma,910,APR-DRG,,inpatient,,,73822,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,73822,,,,,,,case rate,,100398,,,,,,,case rate,,73822,,,,,,,case rate,,73822,,,,,,,case rate,,73822,,,,,,,case rate,,84895,,,,,,,case rate,,81204,,,,,,,case rate,,71607,,,,,,,case rate,,73822,,,,,,,case rate,,73822,,,,,,,case rate,,76036,,,,,,,case rate,,166099,,,,,,,case rate,,71607,166099,
Craniotomy for trauma,20,APR-DRG,,inpatient,,,18352,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18352,,,,,,,case rate,,24959,,,,,,,case rate,,18352,,,,,,,case rate,,18352,,,,,,,case rate,,18352,,,,,,,case rate,,21105,,,,,,,case rate,,20188,,,,,,,case rate,,17802,,,,,,,case rate,,18352,,,,,,,case rate,,18352,,,,,,,case rate,,18903,,,,,,,case rate,,41293,,,,,,,case rate,,17802,41293,
Craniotomy for trauma,20,APR-DRG,,inpatient,,,23181,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23181,,,,,,,case rate,,31526,,,,,,,case rate,,23181,,,,,,,case rate,,23181,,,,,,,case rate,,23181,,,,,,,case rate,,26658,,,,,,,case rate,,25499,,,,,,,case rate,,22486,,,,,,,case rate,,23181,,,,,,,case rate,,23181,,,,,,,case rate,,23876,,,,,,,case rate,,52157,,,,,,,case rate,,22486,52157,
Craniotomy for trauma,20,APR-DRG,,inpatient,,,36409,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36409,,,,,,,case rate,,49516,,,,,,,case rate,,36409,,,,,,,case rate,,36409,,,,,,,case rate,,36409,,,,,,,case rate,,41870,,,,,,,case rate,,40050,,,,,,,case rate,,35317,,,,,,,case rate,,36409,,,,,,,case rate,,36409,,,,,,,case rate,,37501,,,,,,,case rate,,81920,,,,,,,case rate,,35317,81920,
Craniotomy for trauma,20,APR-DRG,,inpatient,,,68760,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,68760,,,,,,,case rate,,93513,,,,,,,case rate,,68760,,,,,,,case rate,,68760,,,,,,,case rate,,68760,,,,,,,case rate,,79074,,,,,,,case rate,,75636,,,,,,,case rate,,66697,,,,,,,case rate,,68760,,,,,,,case rate,,68760,,,,,,,case rate,,70823,,,,,,,case rate,,154710,,,,,,,case rate,,66697,154710,
CVA & precerebral occlusion w infarct,45,APR-DRG,,inpatient,,,8195,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8195,,,,,,,case rate,,11145,,,,,,,case rate,,8195,,,,,,,case rate,,8195,,,,,,,case rate,,8195,,,,,,,case rate,,9424,,,,,,,case rate,,9014,,,,,,,case rate,,7949,,,,,,,case rate,,8195,,,,,,,case rate,,8195,,,,,,,case rate,,8440,,,,,,,case rate,,18438,,,,,,,case rate,,7949,18438,
CVA & precerebral occlusion w infarct,45,APR-DRG,,inpatient,,,11422,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11422,,,,,,,case rate,,15534,,,,,,,case rate,,11422,,,,,,,case rate,,11422,,,,,,,case rate,,11422,,,,,,,case rate,,13135,,,,,,,case rate,,12564,,,,,,,case rate,,11079,,,,,,,case rate,,11422,,,,,,,case rate,,11422,,,,,,,case rate,,11765,,,,,,,case rate,,25699,,,,,,,case rate,,11079,25699,
CVA & precerebral occlusion w infarct,45,APR-DRG,,inpatient,,,17692,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17692,,,,,,,case rate,,24060,,,,,,,case rate,,17692,,,,,,,case rate,,17692,,,,,,,case rate,,17692,,,,,,,case rate,,20345,,,,,,,case rate,,19461,,,,,,,case rate,,17161,,,,,,,case rate,,17692,,,,,,,case rate,,17692,,,,,,,case rate,,18222,,,,,,,case rate,,39806,,,,,,,case rate,,17161,39806,
CVA & precerebral occlusion w infarct,45,APR-DRG,,inpatient,,,35153,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35153,,,,,,,case rate,,47808,,,,,,,case rate,,35153,,,,,,,case rate,,35153,,,,,,,case rate,,35153,,,,,,,case rate,,40426,,,,,,,case rate,,38668,,,,,,,case rate,,34098,,,,,,,case rate,,35153,,,,,,,case rate,,35153,,,,,,,case rate,,36207,,,,,,,case rate,,79094,,,,,,,case rate,,34098,79094,
Cystic fibrosis - pulmonary disease,131,APR-DRG,,inpatient,,,14184,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14184,,,,,,,case rate,,19290,,,,,,,case rate,,14184,,,,,,,case rate,,14184,,,,,,,case rate,,14184,,,,,,,case rate,,16311,,,,,,,case rate,,15602,,,,,,,case rate,,13758,,,,,,,case rate,,14184,,,,,,,case rate,,14184,,,,,,,case rate,,14609,,,,,,,case rate,,31913,,,,,,,case rate,,13758,31913,
Cystic fibrosis - pulmonary disease,131,APR-DRG,,inpatient,,,17779,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17779,,,,,,,case rate,,24179,,,,,,,case rate,,17779,,,,,,,case rate,,17779,,,,,,,case rate,,17779,,,,,,,case rate,,20446,,,,,,,case rate,,19557,,,,,,,case rate,,17246,,,,,,,case rate,,17779,,,,,,,case rate,,17779,,,,,,,case rate,,18312,,,,,,,case rate,,40002,,,,,,,case rate,,17246,40002,
Cystic fibrosis - pulmonary disease,131,APR-DRG,,inpatient,,,26244,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26244,,,,,,,case rate,,35692,,,,,,,case rate,,26244,,,,,,,case rate,,26244,,,,,,,case rate,,26244,,,,,,,case rate,,30180,,,,,,,case rate,,28868,,,,,,,case rate,,25457,,,,,,,case rate,,26244,,,,,,,case rate,,26244,,,,,,,case rate,,27031,,,,,,,case rate,,59049,,,,,,,case rate,,25457,59049,
Cystic fibrosis - pulmonary disease,131,APR-DRG,,inpatient,,,28095,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28095,,,,,,,case rate,,38209,,,,,,,case rate,,28095,,,,,,,case rate,,28095,,,,,,,case rate,,28095,,,,,,,case rate,,32309,,,,,,,case rate,,30904,,,,,,,case rate,,27252,,,,,,,case rate,,28095,,,,,,,case rate,,28095,,,,,,,case rate,,28938,,,,,,,case rate,,63214,,,,,,,case rate,,27252,63214,
"D&C, aspiration curettage or hysterotomy for obstetric diagnoses",544,APR-DRG,,inpatient,,,4932,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4932,,,,,,,case rate,,6708,,,,,,,case rate,,4932,,,,,,,case rate,,4932,,,,,,,case rate,,4932,,,,,,,case rate,,5672,,,,,,,case rate,,5426,,,,,,,case rate,,4784,,,,,,,case rate,,4932,,,,,,,case rate,,4932,,,,,,,case rate,,5080,,,,,,,case rate,,11098,,,,,,,case rate,,4784,11098,
"D&C, aspiration curettage or hysterotomy for obstetric diagnoses",544,APR-DRG,,inpatient,,,6361,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6361,,,,,,,case rate,,8651,,,,,,,case rate,,6361,,,,,,,case rate,,6361,,,,,,,case rate,,6361,,,,,,,case rate,,7315,,,,,,,case rate,,6997,,,,,,,case rate,,6170,,,,,,,case rate,,6361,,,,,,,case rate,,6361,,,,,,,case rate,,6552,,,,,,,case rate,,14312,,,,,,,case rate,,6170,14312,
"D&C, aspiration curettage or hysterotomy for obstetric diagnoses",544,APR-DRG,,inpatient,,,11300,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11300,,,,,,,case rate,,15368,,,,,,,case rate,,11300,,,,,,,case rate,,11300,,,,,,,case rate,,11300,,,,,,,case rate,,12995,,,,,,,case rate,,12430,,,,,,,case rate,,10961,,,,,,,case rate,,11300,,,,,,,case rate,,11300,,,,,,,case rate,,11639,,,,,,,case rate,,25424,,,,,,,case rate,,10961,25424,
"D&C, aspiration curettage or hysterotomy for obstetric diagnoses",544,APR-DRG,,inpatient,,,29504,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29504,,,,,,,case rate,,40125,,,,,,,case rate,,29504,,,,,,,case rate,,29504,,,,,,,case rate,,29504,,,,,,,case rate,,33930,,,,,,,case rate,,32454,,,,,,,case rate,,28619,,,,,,,case rate,,29504,,,,,,,case rate,,29504,,,,,,,case rate,,30389,,,,,,,case rate,,66384,,,,,,,case rate,,28619,66384,
Degenerative nervous system disorders exc mult sclerosis,42,APR-DRG,,inpatient,,,6549,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6549,,,,,,,case rate,,8907,,,,,,,case rate,,6549,,,,,,,case rate,,6549,,,,,,,case rate,,6549,,,,,,,case rate,,7532,,,,,,,case rate,,7204,,,,,,,case rate,,6353,,,,,,,case rate,,6549,,,,,,,case rate,,6549,,,,,,,case rate,,6746,,,,,,,case rate,,14736,,,,,,,case rate,,6353,14736,
Degenerative nervous system disorders exc mult sclerosis,42,APR-DRG,,inpatient,,,9072,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9072,,,,,,,case rate,,12338,,,,,,,case rate,,9072,,,,,,,case rate,,9072,,,,,,,case rate,,9072,,,,,,,case rate,,10433,,,,,,,case rate,,9980,,,,,,,case rate,,8800,,,,,,,case rate,,9072,,,,,,,case rate,,9072,,,,,,,case rate,,9345,,,,,,,case rate,,20413,,,,,,,case rate,,8800,20413,
Degenerative nervous system disorders exc mult sclerosis,42,APR-DRG,,inpatient,,,18765,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18765,,,,,,,case rate,,25520,,,,,,,case rate,,18765,,,,,,,case rate,,18765,,,,,,,case rate,,18765,,,,,,,case rate,,21579,,,,,,,case rate,,20641,,,,,,,case rate,,18202,,,,,,,case rate,,18765,,,,,,,case rate,,18765,,,,,,,case rate,,19327,,,,,,,case rate,,42220,,,,,,,case rate,,18202,42220,
Degenerative nervous system disorders exc mult sclerosis,42,APR-DRG,,inpatient,,,19974,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19974,,,,,,,case rate,,27165,,,,,,,case rate,,19974,,,,,,,case rate,,19974,,,,,,,case rate,,19974,,,,,,,case rate,,22970,,,,,,,case rate,,21972,,,,,,,case rate,,19375,,,,,,,case rate,,19974,,,,,,,case rate,,19974,,,,,,,case rate,,20573,,,,,,,case rate,,44942,,,,,,,case rate,,19375,44942,
Dental & oral diseases & injuries,114,APR-DRG,,inpatient,,,4920,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4920,,,,,,,case rate,,6691,,,,,,,case rate,,4920,,,,,,,case rate,,4920,,,,,,,case rate,,4920,,,,,,,case rate,,5658,,,,,,,case rate,,5412,,,,,,,case rate,,4772,,,,,,,case rate,,4920,,,,,,,case rate,,4920,,,,,,,case rate,,5068,,,,,,,case rate,,11070,,,,,,,case rate,,4772,11070,
Dental & oral diseases & injuries,114,APR-DRG,,inpatient,,,6222,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6222,,,,,,,case rate,,8462,,,,,,,case rate,,6222,,,,,,,case rate,,6222,,,,,,,case rate,,6222,,,,,,,case rate,,7156,,,,,,,case rate,,6845,,,,,,,case rate,,6036,,,,,,,case rate,,6222,,,,,,,case rate,,6222,,,,,,,case rate,,6409,,,,,,,case rate,,14000,,,,,,,case rate,,6036,14000,
Dental & oral diseases & injuries,114,APR-DRG,,inpatient,,,12332,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12332,,,,,,,case rate,,16771,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,14181,,,,,,,case rate,,13565,,,,,,,case rate,,11962,,,,,,,case rate,,12332,,,,,,,case rate,,12332,,,,,,,case rate,,12701,,,,,,,case rate,,27746,,,,,,,case rate,,11962,27746,
Dental & oral diseases & injuries,114,APR-DRG,,inpatient,,,25362,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25362,,,,,,,case rate,,34492,,,,,,,case rate,,25362,,,,,,,case rate,,25362,,,,,,,case rate,,25362,,,,,,,case rate,,29166,,,,,,,case rate,,27898,,,,,,,case rate,,24601,,,,,,,case rate,,25362,,,,,,,case rate,,25362,,,,,,,case rate,,26123,,,,,,,case rate,,57064,,,,,,,case rate,,24601,57064,
Depression except major depressive disorder,754,APR-DRG,,inpatient,,,7122,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7122,,,,,,,case rate,,9685,,,,,,,case rate,,7122,,,,,,,case rate,,7122,,,,,,,case rate,,7122,,,,,,,case rate,,8190,,,,,,,case rate,,7834,,,,,,,case rate,,6908,,,,,,,case rate,,7122,,,,,,,case rate,,7122,,,,,,,case rate,,7335,,,,,,,case rate,,16024,,,,,,,case rate,,6908,16024,
Depression except major depressive disorder,754,APR-DRG,,inpatient,,,7122,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7122,,,,,,,case rate,,9685,,,,,,,case rate,,7122,,,,,,,case rate,,7122,,,,,,,case rate,,7122,,,,,,,case rate,,8190,,,,,,,case rate,,7834,,,,,,,case rate,,6908,,,,,,,case rate,,7122,,,,,,,case rate,,7122,,,,,,,case rate,,7335,,,,,,,case rate,,16024,,,,,,,case rate,,6908,16024,
Depression except major depressive disorder,754,APR-DRG,,inpatient,,,8759,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8759,,,,,,,case rate,,11912,,,,,,,case rate,,8759,,,,,,,case rate,,8759,,,,,,,case rate,,8759,,,,,,,case rate,,10073,,,,,,,case rate,,9635,,,,,,,case rate,,8496,,,,,,,case rate,,8759,,,,,,,case rate,,8759,,,,,,,case rate,,9022,,,,,,,case rate,,19708,,,,,,,case rate,,8496,19708,
Depression except major depressive disorder,754,APR-DRG,,inpatient,,,8759,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8759,,,,,,,case rate,,11912,,,,,,,case rate,,8759,,,,,,,case rate,,8759,,,,,,,case rate,,8759,,,,,,,case rate,,10073,,,,,,,case rate,,9635,,,,,,,case rate,,8496,,,,,,,case rate,,8759,,,,,,,case rate,,8759,,,,,,,case rate,,9022,,,,,,,case rate,,19708,,,,,,,case rate,,8496,19708,
Diabetes,420,APR-DRG,,inpatient,,,4683,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4683,,,,,,,case rate,,6368,,,,,,,case rate,,4683,,,,,,,case rate,,4683,,,,,,,case rate,,4683,,,,,,,case rate,,5385,,,,,,,case rate,,5151,,,,,,,case rate,,4542,,,,,,,case rate,,4683,,,,,,,case rate,,4683,,,,,,,case rate,,4823,,,,,,,case rate,,10536,,,,,,,case rate,,4542,10536,
Diabetes,420,APR-DRG,,inpatient,,,6486,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6486,,,,,,,case rate,,8822,,,,,,,case rate,,6486,,,,,,,case rate,,6486,,,,,,,case rate,,6486,,,,,,,case rate,,7459,,,,,,,case rate,,7135,,,,,,,case rate,,6292,,,,,,,case rate,,6486,,,,,,,case rate,,6486,,,,,,,case rate,,6681,,,,,,,case rate,,14595,,,,,,,case rate,,6292,14595,
Diabetes,420,APR-DRG,,inpatient,,,10045,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10045,,,,,,,case rate,,13661,,,,,,,case rate,,10045,,,,,,,case rate,,10045,,,,,,,case rate,,10045,,,,,,,case rate,,11551,,,,,,,case rate,,11049,,,,,,,case rate,,9743,,,,,,,case rate,,10045,,,,,,,case rate,,10045,,,,,,,case rate,,10346,,,,,,,case rate,,22601,,,,,,,case rate,,9743,22601,
Diabetes,420,APR-DRG,,inpatient,,,26106,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26106,,,,,,,case rate,,35504,,,,,,,case rate,,26106,,,,,,,case rate,,26106,,,,,,,case rate,,26106,,,,,,,case rate,,30022,,,,,,,case rate,,28717,,,,,,,case rate,,25323,,,,,,,case rate,,26106,,,,,,,case rate,,26106,,,,,,,case rate,,26889,,,,,,,case rate,,58739,,,,,,,case rate,,25323,58739,
Digestive malignancy,240,APR-DRG,,inpatient,,,7193,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7193,,,,,,,case rate,,9782,,,,,,,case rate,,7193,,,,,,,case rate,,7193,,,,,,,case rate,,7193,,,,,,,case rate,,8271,,,,,,,case rate,,7912,,,,,,,case rate,,6977,,,,,,,case rate,,7193,,,,,,,case rate,,7193,,,,,,,case rate,,7408,,,,,,,case rate,,16183,,,,,,,case rate,,6977,16183,
Digestive malignancy,240,APR-DRG,,inpatient,,,9757,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9757,,,,,,,case rate,,13269,,,,,,,case rate,,9757,,,,,,,case rate,,9757,,,,,,,case rate,,9757,,,,,,,case rate,,11220,,,,,,,case rate,,10733,,,,,,,case rate,,9464,,,,,,,case rate,,9757,,,,,,,case rate,,9757,,,,,,,case rate,,10050,,,,,,,case rate,,21953,,,,,,,case rate,,9464,21953,
Digestive malignancy,240,APR-DRG,,inpatient,,,16274,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16274,,,,,,,case rate,,22133,,,,,,,case rate,,16274,,,,,,,case rate,,16274,,,,,,,case rate,,16274,,,,,,,case rate,,18715,,,,,,,case rate,,17902,,,,,,,case rate,,15786,,,,,,,case rate,,16274,,,,,,,case rate,,16274,,,,,,,case rate,,16762,,,,,,,case rate,,36617,,,,,,,case rate,,15786,36617,
Digestive malignancy,240,APR-DRG,,inpatient,,,30566,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30566,,,,,,,case rate,,41569,,,,,,,case rate,,30566,,,,,,,case rate,,30566,,,,,,,case rate,,30566,,,,,,,case rate,,35151,,,,,,,case rate,,33622,,,,,,,case rate,,29649,,,,,,,case rate,,30566,,,,,,,case rate,,30566,,,,,,,case rate,,31483,,,,,,,case rate,,68773,,,,,,,case rate,,29649,68773,
Dilation & curettage for non-obstetric diagnoses,517,APR-DRG,,inpatient,,,6863,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6863,,,,,,,case rate,,9333,,,,,,,case rate,,6863,,,,,,,case rate,,6863,,,,,,,case rate,,6863,,,,,,,case rate,,7892,,,,,,,case rate,,7549,,,,,,,case rate,,6657,,,,,,,case rate,,6863,,,,,,,case rate,,6863,,,,,,,case rate,,7068,,,,,,,case rate,,15441,,,,,,,case rate,,6657,15441,
Dilation & curettage for non-obstetric diagnoses,517,APR-DRG,,inpatient,,,9605,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9605,,,,,,,case rate,,13063,,,,,,,case rate,,9605,,,,,,,case rate,,9605,,,,,,,case rate,,9605,,,,,,,case rate,,11046,,,,,,,case rate,,10565,,,,,,,case rate,,9317,,,,,,,case rate,,9605,,,,,,,case rate,,9605,,,,,,,case rate,,9893,,,,,,,case rate,,21611,,,,,,,case rate,,9317,21611,
Dilation & curettage for non-obstetric diagnoses,517,APR-DRG,,inpatient,,,20925,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20925,,,,,,,case rate,,28458,,,,,,,case rate,,20925,,,,,,,case rate,,20925,,,,,,,case rate,,20925,,,,,,,case rate,,24064,,,,,,,case rate,,23017,,,,,,,case rate,,20297,,,,,,,case rate,,20925,,,,,,,case rate,,20925,,,,,,,case rate,,21553,,,,,,,case rate,,47081,,,,,,,case rate,,20297,47081,
Dilation & curettage for non-obstetric diagnoses,517,APR-DRG,,inpatient,,,22097,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22097,,,,,,,case rate,,30051,,,,,,,case rate,,22097,,,,,,,case rate,,22097,,,,,,,case rate,,22097,,,,,,,case rate,,25411,,,,,,,case rate,,24306,,,,,,,case rate,,21434,,,,,,,case rate,,22097,,,,,,,case rate,,22097,,,,,,,case rate,,22760,,,,,,,case rate,,49718,,,,,,,case rate,,21434,49718,
Disorders of gallbladder & biliary tract,284,APR-DRG,,inpatient,,,5937,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5937,,,,,,,case rate,,8074,,,,,,,case rate,,5937,,,,,,,case rate,,5937,,,,,,,case rate,,5937,,,,,,,case rate,,6827,,,,,,,case rate,,6530,,,,,,,case rate,,5758,,,,,,,case rate,,5937,,,,,,,case rate,,5937,,,,,,,case rate,,6115,,,,,,,case rate,,13357,,,,,,,case rate,,5758,13357,
Disorders of gallbladder & biliary tract,284,APR-DRG,,inpatient,,,8506,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8506,,,,,,,case rate,,11568,,,,,,,case rate,,8506,,,,,,,case rate,,8506,,,,,,,case rate,,8506,,,,,,,case rate,,9782,,,,,,,case rate,,9357,,,,,,,case rate,,8251,,,,,,,case rate,,8506,,,,,,,case rate,,8506,,,,,,,case rate,,8761,,,,,,,case rate,,19139,,,,,,,case rate,,8251,19139,
Disorders of gallbladder & biliary tract,284,APR-DRG,,inpatient,,,13545,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13545,,,,,,,case rate,,18422,,,,,,,case rate,,13545,,,,,,,case rate,,13545,,,,,,,case rate,,13545,,,,,,,case rate,,15577,,,,,,,case rate,,14900,,,,,,,case rate,,13139,,,,,,,case rate,,13545,,,,,,,case rate,,13545,,,,,,,case rate,,13952,,,,,,,case rate,,30477,,,,,,,case rate,,13139,30477,
Disorders of gallbladder & biliary tract,284,APR-DRG,,inpatient,,,30466,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30466,,,,,,,case rate,,41434,,,,,,,case rate,,30466,,,,,,,case rate,,30466,,,,,,,case rate,,30466,,,,,,,case rate,,35036,,,,,,,case rate,,33513,,,,,,,case rate,,29552,,,,,,,case rate,,30466,,,,,,,case rate,,30466,,,,,,,case rate,,31380,,,,,,,case rate,,68549,,,,,,,case rate,,29552,68549,
Disorders of pancreas except malignancy,282,APR-DRG,,inpatient,,,5673,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5673,,,,,,,case rate,,7716,,,,,,,case rate,,5673,,,,,,,case rate,,5673,,,,,,,case rate,,5673,,,,,,,case rate,,6524,,,,,,,case rate,,6241,,,,,,,case rate,,5503,,,,,,,case rate,,5673,,,,,,,case rate,,5673,,,,,,,case rate,,5844,,,,,,,case rate,,12765,,,,,,,case rate,,5503,12765,
Disorders of pancreas except malignancy,282,APR-DRG,,inpatient,,,7677,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7677,,,,,,,case rate,,10440,,,,,,,case rate,,7677,,,,,,,case rate,,7677,,,,,,,case rate,,7677,,,,,,,case rate,,8828,,,,,,,case rate,,8444,,,,,,,case rate,,7446,,,,,,,case rate,,7677,,,,,,,case rate,,7677,,,,,,,case rate,,7907,,,,,,,case rate,,17272,,,,,,,case rate,,7446,17272,
Disorders of pancreas except malignancy,282,APR-DRG,,inpatient,,,13998,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13998,,,,,,,case rate,,19037,,,,,,,case rate,,13998,,,,,,,case rate,,13998,,,,,,,case rate,,13998,,,,,,,case rate,,16097,,,,,,,case rate,,15397,,,,,,,case rate,,13578,,,,,,,case rate,,13998,,,,,,,case rate,,13998,,,,,,,case rate,,14418,,,,,,,case rate,,31495,,,,,,,case rate,,13578,31495,
Disorders of pancreas except malignancy,282,APR-DRG,,inpatient,,,35529,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35529,,,,,,,case rate,,48319,,,,,,,case rate,,35529,,,,,,,case rate,,35529,,,,,,,case rate,,35529,,,,,,,case rate,,40858,,,,,,,case rate,,39082,,,,,,,case rate,,34463,,,,,,,case rate,,35529,,,,,,,case rate,,35529,,,,,,,case rate,,36595,,,,,,,case rate,,79940,,,,,,,case rate,,34463,79940,
Disorders of personality & impulse control,752,APR-DRG,,inpatient,,,9746,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9746,,,,,,,case rate,,13254,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,11207,,,,,,,case rate,,10720,,,,,,,case rate,,9453,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,10038,,,,,,,case rate,,21928,,,,,,,case rate,,9453,21928,
Disorders of personality & impulse control,752,APR-DRG,,inpatient,,,9746,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9746,,,,,,,case rate,,13254,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,11207,,,,,,,case rate,,10720,,,,,,,case rate,,9453,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,10038,,,,,,,case rate,,21928,,,,,,,case rate,,9453,21928,
Disorders of personality & impulse control,752,APR-DRG,,inpatient,,,9746,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9746,,,,,,,case rate,,13254,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,11207,,,,,,,case rate,,10720,,,,,,,case rate,,9453,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,10038,,,,,,,case rate,,21928,,,,,,,case rate,,9453,21928,
Disorders of personality & impulse control,752,APR-DRG,,inpatient,,,9746,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9746,,,,,,,case rate,,13254,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,11207,,,,,,,case rate,,10720,,,,,,,case rate,,9453,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,10038,,,,,,,case rate,,21928,,,,,,,case rate,,9453,21928,
Diverticulitis & diverticulosis,244,APR-DRG,,inpatient,,,5347,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5347,,,,,,,case rate,,7271,,,,,,,case rate,,5347,,,,,,,case rate,,5347,,,,,,,case rate,,5347,,,,,,,case rate,,6149,,,,,,,case rate,,5881,,,,,,,case rate,,5186,,,,,,,case rate,,5347,,,,,,,case rate,,5347,,,,,,,case rate,,5507,,,,,,,case rate,,12030,,,,,,,case rate,,5186,12030,
Diverticulitis & diverticulosis,244,APR-DRG,,inpatient,,,7128,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7128,,,,,,,case rate,,9694,,,,,,,case rate,,7128,,,,,,,case rate,,7128,,,,,,,case rate,,7128,,,,,,,case rate,,8197,,,,,,,case rate,,7841,,,,,,,case rate,,6914,,,,,,,case rate,,7128,,,,,,,case rate,,7128,,,,,,,case rate,,7342,,,,,,,case rate,,16038,,,,,,,case rate,,6914,16038,
Diverticulitis & diverticulosis,244,APR-DRG,,inpatient,,,11940,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11940,,,,,,,case rate,,16238,,,,,,,case rate,,11940,,,,,,,case rate,,11940,,,,,,,case rate,,11940,,,,,,,case rate,,13731,,,,,,,case rate,,13134,,,,,,,case rate,,11582,,,,,,,case rate,,11940,,,,,,,case rate,,11940,,,,,,,case rate,,12298,,,,,,,case rate,,26865,,,,,,,case rate,,11582,26865,
Diverticulitis & diverticulosis,244,APR-DRG,,inpatient,,,31583,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31583,,,,,,,case rate,,42953,,,,,,,case rate,,31583,,,,,,,case rate,,31583,,,,,,,case rate,,31583,,,,,,,case rate,,36321,,,,,,,case rate,,34742,,,,,,,case rate,,30636,,,,,,,case rate,,31583,,,,,,,case rate,,31583,,,,,,,case rate,,32531,,,,,,,case rate,,71062,,,,,,,case rate,,30636,71062,
Dorsal & lumbar fusion proc except for curvature of back,304,APR-DRG,,inpatient,,,31513,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31513,,,,,,,case rate,,42858,,,,,,,case rate,,31513,,,,,,,case rate,,31513,,,,,,,case rate,,31513,,,,,,,case rate,,36240,,,,,,,case rate,,34665,,,,,,,case rate,,30568,,,,,,,case rate,,31513,,,,,,,case rate,,31513,,,,,,,case rate,,32459,,,,,,,case rate,,70905,,,,,,,case rate,,30568,70905,
Dorsal & lumbar fusion proc except for curvature of back,304,APR-DRG,,inpatient,,,38386,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38386,,,,,,,case rate,,52205,,,,,,,case rate,,38386,,,,,,,case rate,,38386,,,,,,,case rate,,38386,,,,,,,case rate,,44144,,,,,,,case rate,,42225,,,,,,,case rate,,37235,,,,,,,case rate,,38386,,,,,,,case rate,,38386,,,,,,,case rate,,39538,,,,,,,case rate,,86369,,,,,,,case rate,,37235,86369,
Dorsal & lumbar fusion proc except for curvature of back,304,APR-DRG,,inpatient,,,54757,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,54757,,,,,,,case rate,,74470,,,,,,,case rate,,54757,,,,,,,case rate,,54757,,,,,,,case rate,,54757,,,,,,,case rate,,62971,,,,,,,case rate,,60233,,,,,,,case rate,,53114,,,,,,,case rate,,54757,,,,,,,case rate,,54757,,,,,,,case rate,,56400,,,,,,,case rate,,123203,,,,,,,case rate,,53114,123203,
Dorsal & lumbar fusion proc except for curvature of back,304,APR-DRG,,inpatient,,,94375,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,94375,,,,,,,case rate,,128350,,,,,,,case rate,,94375,,,,,,,case rate,,94375,,,,,,,case rate,,94375,,,,,,,case rate,,108531,,,,,,,case rate,,103812,,,,,,,case rate,,91543,,,,,,,case rate,,94375,,,,,,,case rate,,94375,,,,,,,case rate,,97206,,,,,,,case rate,,212343,,,,,,,case rate,,91543,212343,
Dorsal & lumbar fusion proc for curvature of back,303,APR-DRG,,inpatient,,,45427,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,45427,,,,,,,case rate,,61780,,,,,,,case rate,,45427,,,,,,,case rate,,45427,,,,,,,case rate,,45427,,,,,,,case rate,,52241,,,,,,,case rate,,49969,,,,,,,case rate,,44064,,,,,,,case rate,,45427,,,,,,,case rate,,45427,,,,,,,case rate,,46790,,,,,,,case rate,,102210,,,,,,,case rate,,44064,102210,
Dorsal & lumbar fusion proc for curvature of back,303,APR-DRG,,inpatient,,,54354,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,54354,,,,,,,case rate,,73922,,,,,,,case rate,,54354,,,,,,,case rate,,54354,,,,,,,case rate,,54354,,,,,,,case rate,,62507,,,,,,,case rate,,59790,,,,,,,case rate,,52724,,,,,,,case rate,,54354,,,,,,,case rate,,54354,,,,,,,case rate,,55985,,,,,,,case rate,,122297,,,,,,,case rate,,52724,122297,
Dorsal & lumbar fusion proc for curvature of back,303,APR-DRG,,inpatient,,,71823,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,71823,,,,,,,case rate,,97679,,,,,,,case rate,,71823,,,,,,,case rate,,71823,,,,,,,case rate,,71823,,,,,,,case rate,,82596,,,,,,,case rate,,79005,,,,,,,case rate,,69668,,,,,,,case rate,,71823,,,,,,,case rate,,71823,,,,,,,case rate,,73977,,,,,,,case rate,,161601,,,,,,,case rate,,69668,161601,
Dorsal & lumbar fusion proc for curvature of back,303,APR-DRG,,inpatient,,,111974,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,111974,,,,,,,case rate,,152284,,,,,,,case rate,,111974,,,,,,,case rate,,111974,,,,,,,case rate,,111974,,,,,,,case rate,,128770,,,,,,,case rate,,123171,,,,,,,case rate,,108614,,,,,,,case rate,,111974,,,,,,,case rate,,111974,,,,,,,case rate,,115333,,,,,,,case rate,,251941,,,,,,,case rate,,108614,251941,
"Drug & alcohol abuse or dependence, left against medical advice",770,APR-DRG,,inpatient,,,3073,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3073,,,,,,,case rate,,4179,,,,,,,case rate,,3073,,,,,,,case rate,,3073,,,,,,,case rate,,3073,,,,,,,case rate,,3534,,,,,,,case rate,,3380,,,,,,,case rate,,2981,,,,,,,case rate,,3073,,,,,,,case rate,,3073,,,,,,,case rate,,3165,,,,,,,case rate,,6915,,,,,,,case rate,,2981,6915,
"Drug & alcohol abuse or dependence, left against medical advice",770,APR-DRG,,inpatient,,,3895,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3895,,,,,,,case rate,,5298,,,,,,,case rate,,3895,,,,,,,case rate,,3895,,,,,,,case rate,,3895,,,,,,,case rate,,4480,,,,,,,case rate,,4285,,,,,,,case rate,,3779,,,,,,,case rate,,3895,,,,,,,case rate,,3895,,,,,,,case rate,,4012,,,,,,,case rate,,8765,,,,,,,case rate,,3779,8765,
"Drug & alcohol abuse or dependence, left against medical advice",770,APR-DRG,,inpatient,,,8087,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8087,,,,,,,case rate,,10998,,,,,,,case rate,,8087,,,,,,,case rate,,8087,,,,,,,case rate,,8087,,,,,,,case rate,,9300,,,,,,,case rate,,8895,,,,,,,case rate,,7844,,,,,,,case rate,,8087,,,,,,,case rate,,8087,,,,,,,case rate,,8329,,,,,,,case rate,,18195,,,,,,,case rate,,7844,18195,
"Drug & alcohol abuse or dependence, left against medical advice",770,APR-DRG,,inpatient,,,9185,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9185,,,,,,,case rate,,12492,,,,,,,case rate,,9185,,,,,,,case rate,,9185,,,,,,,case rate,,9185,,,,,,,case rate,,10563,,,,,,,case rate,,10104,,,,,,,case rate,,8910,,,,,,,case rate,,9185,,,,,,,case rate,,9185,,,,,,,case rate,,9461,,,,,,,case rate,,20667,,,,,,,case rate,,8910,20667,
"Ear, nose, mouth, throat, cranial/facial malignancies",110,APR-DRG,,inpatient,,,7371,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7371,,,,,,,case rate,,10025,,,,,,,case rate,,7371,,,,,,,case rate,,7371,,,,,,,case rate,,7371,,,,,,,case rate,,8477,,,,,,,case rate,,8109,,,,,,,case rate,,7150,,,,,,,case rate,,7371,,,,,,,case rate,,7371,,,,,,,case rate,,7593,,,,,,,case rate,,16586,,,,,,,case rate,,7150,16586,
"Ear, nose, mouth, throat, cranial/facial malignancies",110,APR-DRG,,inpatient,,,9276,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9276,,,,,,,case rate,,12615,,,,,,,case rate,,9276,,,,,,,case rate,,9276,,,,,,,case rate,,9276,,,,,,,case rate,,10667,,,,,,,case rate,,10203,,,,,,,case rate,,8998,,,,,,,case rate,,9276,,,,,,,case rate,,9276,,,,,,,case rate,,9554,,,,,,,case rate,,20871,,,,,,,case rate,,8998,20871,
"Ear, nose, mouth, throat, cranial/facial malignancies",110,APR-DRG,,inpatient,,,18228,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18228,,,,,,,case rate,,24790,,,,,,,case rate,,18228,,,,,,,case rate,,18228,,,,,,,case rate,,18228,,,,,,,case rate,,20962,,,,,,,case rate,,20051,,,,,,,case rate,,17681,,,,,,,case rate,,18228,,,,,,,case rate,,18228,,,,,,,case rate,,18775,,,,,,,case rate,,41013,,,,,,,case rate,,17681,41013,
"Ear, nose, mouth, throat, cranial/facial malignancies",110,APR-DRG,,inpatient,,,37286,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37286,,,,,,,case rate,,50708,,,,,,,case rate,,37286,,,,,,,case rate,,37286,,,,,,,case rate,,37286,,,,,,,case rate,,42878,,,,,,,case rate,,41014,,,,,,,case rate,,36167,,,,,,,case rate,,37286,,,,,,,case rate,,37286,,,,,,,case rate,,38404,,,,,,,case rate,,83892,,,,,,,case rate,,36167,83892,
Eating disorders,759,APR-DRG,,inpatient,,,13323,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13323,,,,,,,case rate,,18120,,,,,,,case rate,,13323,,,,,,,case rate,,13323,,,,,,,case rate,,13323,,,,,,,case rate,,15322,,,,,,,case rate,,14656,,,,,,,case rate,,12924,,,,,,,case rate,,13323,,,,,,,case rate,,13323,,,,,,,case rate,,13723,,,,,,,case rate,,29978,,,,,,,case rate,,12924,29978,
Eating disorders,759,APR-DRG,,inpatient,,,13323,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13323,,,,,,,case rate,,18120,,,,,,,case rate,,13323,,,,,,,case rate,,13323,,,,,,,case rate,,13323,,,,,,,case rate,,15322,,,,,,,case rate,,14656,,,,,,,case rate,,12924,,,,,,,case rate,,13323,,,,,,,case rate,,13323,,,,,,,case rate,,13723,,,,,,,case rate,,29978,,,,,,,case rate,,12924,29978,
Eating disorders,759,APR-DRG,,inpatient,,,21744,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21744,,,,,,,case rate,,29572,,,,,,,case rate,,21744,,,,,,,case rate,,21744,,,,,,,case rate,,21744,,,,,,,case rate,,25006,,,,,,,case rate,,23919,,,,,,,case rate,,21092,,,,,,,case rate,,21744,,,,,,,case rate,,21744,,,,,,,case rate,,22396,,,,,,,case rate,,48924,,,,,,,case rate,,21092,48924,
Eating disorders,759,APR-DRG,,inpatient,,,21744,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21744,,,,,,,case rate,,29572,,,,,,,case rate,,21744,,,,,,,case rate,,21744,,,,,,,case rate,,21744,,,,,,,case rate,,25006,,,,,,,case rate,,23919,,,,,,,case rate,,21092,,,,,,,case rate,,21744,,,,,,,case rate,,21744,,,,,,,case rate,,22396,,,,,,,case rate,,48924,,,,,,,case rate,,21092,48924,
Ectopic pregnancy procedure,545,APR-DRG,,inpatient,,,7144,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7144,,,,,,,case rate,,9716,,,,,,,case rate,,7144,,,,,,,case rate,,7144,,,,,,,case rate,,7144,,,,,,,case rate,,8216,,,,,,,case rate,,7859,,,,,,,case rate,,6930,,,,,,,case rate,,7144,,,,,,,case rate,,7144,,,,,,,case rate,,7359,,,,,,,case rate,,16075,,,,,,,case rate,,6930,16075,
Ectopic pregnancy procedure,545,APR-DRG,,inpatient,,,8068,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8068,,,,,,,case rate,,10973,,,,,,,case rate,,8068,,,,,,,case rate,,8068,,,,,,,case rate,,8068,,,,,,,case rate,,9278,,,,,,,case rate,,8875,,,,,,,case rate,,7826,,,,,,,case rate,,8068,,,,,,,case rate,,8068,,,,,,,case rate,,8310,,,,,,,case rate,,18154,,,,,,,case rate,,7826,18154,
Ectopic pregnancy procedure,545,APR-DRG,,inpatient,,,11319,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11319,,,,,,,case rate,,15394,,,,,,,case rate,,11319,,,,,,,case rate,,11319,,,,,,,case rate,,11319,,,,,,,case rate,,13017,,,,,,,case rate,,12451,,,,,,,case rate,,10980,,,,,,,case rate,,11319,,,,,,,case rate,,11319,,,,,,,case rate,,11659,,,,,,,case rate,,25468,,,,,,,case rate,,10980,25468,
Ectopic pregnancy procedure,545,APR-DRG,,inpatient,,,12078,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12078,,,,,,,case rate,,16426,,,,,,,case rate,,12078,,,,,,,case rate,,12078,,,,,,,case rate,,12078,,,,,,,case rate,,13889,,,,,,,case rate,,13285,,,,,,,case rate,,11715,,,,,,,case rate,,12078,,,,,,,case rate,,12078,,,,,,,case rate,,12440,,,,,,,case rate,,27175,,,,,,,case rate,,11715,27175,
Electrolyte disorders except hypovolemia related,425,APR-DRG,,inpatient,,,4428,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4428,,,,,,,case rate,,6022,,,,,,,case rate,,4428,,,,,,,case rate,,4428,,,,,,,case rate,,4428,,,,,,,case rate,,5092,,,,,,,case rate,,4871,,,,,,,case rate,,4295,,,,,,,case rate,,4428,,,,,,,case rate,,4428,,,,,,,case rate,,4561,,,,,,,case rate,,9962,,,,,,,case rate,,4295,9962,
Electrolyte disorders except hypovolemia related,425,APR-DRG,,inpatient,,,6175,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6175,,,,,,,case rate,,8398,,,,,,,case rate,,6175,,,,,,,case rate,,6175,,,,,,,case rate,,6175,,,,,,,case rate,,7101,,,,,,,case rate,,6793,,,,,,,case rate,,5990,,,,,,,case rate,,6175,,,,,,,case rate,,6175,,,,,,,case rate,,6360,,,,,,,case rate,,13894,,,,,,,case rate,,5990,13894,
Electrolyte disorders except hypovolemia related,425,APR-DRG,,inpatient,,,10262,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10262,,,,,,,case rate,,13956,,,,,,,case rate,,10262,,,,,,,case rate,,10262,,,,,,,case rate,,10262,,,,,,,case rate,,11801,,,,,,,case rate,,11288,,,,,,,case rate,,9954,,,,,,,case rate,,10262,,,,,,,case rate,,10262,,,,,,,case rate,,10569,,,,,,,case rate,,23088,,,,,,,case rate,,9954,23088,
Electrolyte disorders except hypovolemia related,425,APR-DRG,,inpatient,,,25602,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25602,,,,,,,case rate,,34819,,,,,,,case rate,,25602,,,,,,,case rate,,25602,,,,,,,case rate,,25602,,,,,,,case rate,,29443,,,,,,,case rate,,28163,,,,,,,case rate,,24834,,,,,,,case rate,,25602,,,,,,,case rate,,25602,,,,,,,case rate,,26371,,,,,,,case rate,,57606,,,,,,,case rate,,24834,57606,
Extensive 3rd degree burns w skin graft,841,APR-DRG,,inpatient,,,55160,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,55160,,,,,,,case rate,,75018,,,,,,,case rate,,55160,,,,,,,case rate,,55160,,,,,,,case rate,,55160,,,,,,,case rate,,63434,,,,,,,case rate,,60676,,,,,,,case rate,,53505,,,,,,,case rate,,55160,,,,,,,case rate,,55160,,,,,,,case rate,,56815,,,,,,,case rate,,124110,,,,,,,case rate,,53505,124110,
Extensive 3rd degree burns w skin graft,841,APR-DRG,,inpatient,,,72788,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,72788,,,,,,,case rate,,98991,,,,,,,case rate,,72788,,,,,,,case rate,,72788,,,,,,,case rate,,72788,,,,,,,case rate,,83706,,,,,,,case rate,,80067,,,,,,,case rate,,70604,,,,,,,case rate,,72788,,,,,,,case rate,,72788,,,,,,,case rate,,74971,,,,,,,case rate,,163772,,,,,,,case rate,,70604,163772,
Extensive 3rd degree burns w skin graft,841,APR-DRG,,inpatient,,,150500,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,150500,,,,,,,case rate,,204680,,,,,,,case rate,,150500,,,,,,,case rate,,150500,,,,,,,case rate,,150500,,,,,,,case rate,,173075,,,,,,,case rate,,165550,,,,,,,case rate,,145985,,,,,,,case rate,,150500,,,,,,,case rate,,150500,,,,,,,case rate,,155015,,,,,,,case rate,,338624,,,,,,,case rate,,145985,338624,
Extensive 3rd degree burns w skin graft,841,APR-DRG,,inpatient,,,192593,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,192593,,,,,,,case rate,,261927,,,,,,,case rate,,192593,,,,,,,case rate,,192593,,,,,,,case rate,,192593,,,,,,,case rate,,221482,,,,,,,case rate,,211853,,,,,,,case rate,,186815,,,,,,,case rate,,192593,,,,,,,case rate,,192593,,,,,,,case rate,,198371,,,,,,,case rate,,433335,,,,,,,case rate,,186815,433335,
Extensive 3rd degree or full thickness burns w/o skin graft,843,APR-DRG,,inpatient,,,20262,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20262,,,,,,,case rate,,27556,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,23301,,,,,,,case rate,,22288,,,,,,,case rate,,19654,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20870,,,,,,,case rate,,45590,,,,,,,case rate,,19654,45590,
Extensive 3rd degree or full thickness burns w/o skin graft,843,APR-DRG,,inpatient,,,20262,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20262,,,,,,,case rate,,27556,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,23301,,,,,,,case rate,,22288,,,,,,,case rate,,19654,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20870,,,,,,,case rate,,45590,,,,,,,case rate,,19654,45590,
Extensive 3rd degree or full thickness burns w/o skin graft,843,APR-DRG,,inpatient,,,20262,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20262,,,,,,,case rate,,27556,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,23301,,,,,,,case rate,,22288,,,,,,,case rate,,19654,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20870,,,,,,,case rate,,45590,,,,,,,case rate,,19654,45590,
Extensive 3rd degree or full thickness burns w/o skin graft,843,APR-DRG,,inpatient,,,20262,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20262,,,,,,,case rate,,27556,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,23301,,,,,,,case rate,,22288,,,,,,,case rate,,19654,,,,,,,case rate,,20262,,,,,,,case rate,,20262,,,,,,,case rate,,20870,,,,,,,case rate,,45590,,,,,,,case rate,,19654,45590,
Extensive abdominal/thoracic procedures for mult significant trauma,911,APR-DRG,,inpatient,,,19234,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19234,,,,,,,case rate,,26159,,,,,,,case rate,,19234,,,,,,,case rate,,19234,,,,,,,case rate,,19234,,,,,,,case rate,,22119,,,,,,,case rate,,21158,,,,,,,case rate,,18657,,,,,,,case rate,,19234,,,,,,,case rate,,19234,,,,,,,case rate,,19811,,,,,,,case rate,,43277,,,,,,,case rate,,18657,43277,
Extensive abdominal/thoracic procedures for mult significant trauma,911,APR-DRG,,inpatient,,,19234,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19234,,,,,,,case rate,,26159,,,,,,,case rate,,19234,,,,,,,case rate,,19234,,,,,,,case rate,,19234,,,,,,,case rate,,22119,,,,,,,case rate,,21158,,,,,,,case rate,,18657,,,,,,,case rate,,19234,,,,,,,case rate,,19234,,,,,,,case rate,,19811,,,,,,,case rate,,43277,,,,,,,case rate,,18657,43277,
Extensive abdominal/thoracic procedures for mult significant trauma,911,APR-DRG,,inpatient,,,26344,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26344,,,,,,,case rate,,35827,,,,,,,case rate,,26344,,,,,,,case rate,,26344,,,,,,,case rate,,26344,,,,,,,case rate,,30295,,,,,,,case rate,,28978,,,,,,,case rate,,25553,,,,,,,case rate,,26344,,,,,,,case rate,,26344,,,,,,,case rate,,27134,,,,,,,case rate,,59273,,,,,,,case rate,,25553,59273,
Extensive abdominal/thoracic procedures for mult significant trauma,911,APR-DRG,,inpatient,,,66707,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,66707,,,,,,,case rate,,90722,,,,,,,case rate,,66707,,,,,,,case rate,,66707,,,,,,,case rate,,66707,,,,,,,case rate,,76713,,,,,,,case rate,,73378,,,,,,,case rate,,64706,,,,,,,case rate,,66707,,,,,,,case rate,,66707,,,,,,,case rate,,68709,,,,,,,case rate,,150091,,,,,,,case rate,,64706,150091,
Extensive procedure unrelated to principal diagnosis,950,APR-DRG,,inpatient,,,14003,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14003,,,,,,,case rate,,19044,,,,,,,case rate,,14003,,,,,,,case rate,,14003,,,,,,,case rate,,14003,,,,,,,case rate,,16103,,,,,,,case rate,,15403,,,,,,,case rate,,13583,,,,,,,case rate,,14003,,,,,,,case rate,,14003,,,,,,,case rate,,14423,,,,,,,case rate,,31506,,,,,,,case rate,,13583,31506,
Extensive procedure unrelated to principal diagnosis,950,APR-DRG,,inpatient,,,22190,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22190,,,,,,,case rate,,30179,,,,,,,case rate,,22190,,,,,,,case rate,,22190,,,,,,,case rate,,22190,,,,,,,case rate,,25519,,,,,,,case rate,,24409,,,,,,,case rate,,21524,,,,,,,case rate,,22190,,,,,,,case rate,,22190,,,,,,,case rate,,22856,,,,,,,case rate,,49928,,,,,,,case rate,,21524,49928,
Extensive procedure unrelated to principal diagnosis,950,APR-DRG,,inpatient,,,41054,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41054,,,,,,,case rate,,55834,,,,,,,case rate,,41054,,,,,,,case rate,,41054,,,,,,,case rate,,41054,,,,,,,case rate,,47213,,,,,,,case rate,,45160,,,,,,,case rate,,39823,,,,,,,case rate,,41054,,,,,,,case rate,,41054,,,,,,,case rate,,42286,,,,,,,case rate,,92372,,,,,,,case rate,,39823,92372,
Extensive procedure unrelated to principal diagnosis,950,APR-DRG,,inpatient,,,83399,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,83399,,,,,,,case rate,,113422,,,,,,,case rate,,83399,,,,,,,case rate,,83399,,,,,,,case rate,,83399,,,,,,,case rate,,95909,,,,,,,case rate,,91739,,,,,,,case rate,,80897,,,,,,,case rate,,83399,,,,,,,case rate,,83399,,,,,,,case rate,,85901,,,,,,,case rate,,187647,,,,,,,case rate,,80897,187647,
Extracranial vascular procedures,24,APR-DRG,,inpatient,,,15434,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15434,,,,,,,case rate,,20991,,,,,,,case rate,,15434,,,,,,,case rate,,15434,,,,,,,case rate,,15434,,,,,,,case rate,,17750,,,,,,,case rate,,16978,,,,,,,case rate,,14971,,,,,,,case rate,,15434,,,,,,,case rate,,15434,,,,,,,case rate,,15898,,,,,,,case rate,,34728,,,,,,,case rate,,14971,34728,
Extracranial vascular procedures,24,APR-DRG,,inpatient,,,21897,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21897,,,,,,,case rate,,29780,,,,,,,case rate,,21897,,,,,,,case rate,,21897,,,,,,,case rate,,21897,,,,,,,case rate,,25182,,,,,,,case rate,,24087,,,,,,,case rate,,21240,,,,,,,case rate,,21897,,,,,,,case rate,,21897,,,,,,,case rate,,22554,,,,,,,case rate,,49269,,,,,,,case rate,,21240,49269,
Extracranial vascular procedures,24,APR-DRG,,inpatient,,,37929,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37929,,,,,,,case rate,,51583,,,,,,,case rate,,37929,,,,,,,case rate,,37929,,,,,,,case rate,,37929,,,,,,,case rate,,43618,,,,,,,case rate,,41722,,,,,,,case rate,,36791,,,,,,,case rate,,37929,,,,,,,case rate,,37929,,,,,,,case rate,,39067,,,,,,,case rate,,85340,,,,,,,case rate,,36791,85340,
Extracranial vascular procedures,24,APR-DRG,,inpatient,,,69825,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,69825,,,,,,,case rate,,94961,,,,,,,case rate,,69825,,,,,,,case rate,,69825,,,,,,,case rate,,69825,,,,,,,case rate,,80298,,,,,,,case rate,,76807,,,,,,,case rate,,67730,,,,,,,case rate,,69825,,,,,,,case rate,,69825,,,,,,,case rate,,71919,,,,,,,case rate,,157105,,,,,,,case rate,,67730,157105,
Eye disorders except major infections,82,APR-DRG,,inpatient,,,5031,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5031,,,,,,,case rate,,6842,,,,,,,case rate,,5031,,,,,,,case rate,,5031,,,,,,,case rate,,5031,,,,,,,case rate,,5786,,,,,,,case rate,,5534,,,,,,,case rate,,4880,,,,,,,case rate,,5031,,,,,,,case rate,,5031,,,,,,,case rate,,5182,,,,,,,case rate,,11320,,,,,,,case rate,,4880,11320,
Eye disorders except major infections,82,APR-DRG,,inpatient,,,6100,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6100,,,,,,,case rate,,8296,,,,,,,case rate,,6100,,,,,,,case rate,,6100,,,,,,,case rate,,6100,,,,,,,case rate,,7015,,,,,,,case rate,,6710,,,,,,,case rate,,5917,,,,,,,case rate,,6100,,,,,,,case rate,,6100,,,,,,,case rate,,6283,,,,,,,case rate,,13725,,,,,,,case rate,,5917,13725,
Eye disorders except major infections,82,APR-DRG,,inpatient,,,10546,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10546,,,,,,,case rate,,14343,,,,,,,case rate,,10546,,,,,,,case rate,,10546,,,,,,,case rate,,10546,,,,,,,case rate,,12128,,,,,,,case rate,,11601,,,,,,,case rate,,10230,,,,,,,case rate,,10546,,,,,,,case rate,,10546,,,,,,,case rate,,10863,,,,,,,case rate,,23729,,,,,,,case rate,,10230,23729,
Eye disorders except major infections,82,APR-DRG,,inpatient,,,10842,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10842,,,,,,,case rate,,14745,,,,,,,case rate,,10842,,,,,,,case rate,,10842,,,,,,,case rate,,10842,,,,,,,case rate,,12469,,,,,,,case rate,,11926,,,,,,,case rate,,10517,,,,,,,case rate,,10842,,,,,,,case rate,,10842,,,,,,,case rate,,11168,,,,,,,case rate,,24395,,,,,,,case rate,,10517,24395,
Eye procedures except orbit,73,APR-DRG,,inpatient,,,6773,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6773,,,,,,,case rate,,9212,,,,,,,case rate,,6773,,,,,,,case rate,,6773,,,,,,,case rate,,6773,,,,,,,case rate,,7789,,,,,,,case rate,,7451,,,,,,,case rate,,6570,,,,,,,case rate,,6773,,,,,,,case rate,,6773,,,,,,,case rate,,6976,,,,,,,case rate,,15240,,,,,,,case rate,,6570,15240,
Eye procedures except orbit,73,APR-DRG,,inpatient,,,8695,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8695,,,,,,,case rate,,11825,,,,,,,case rate,,8695,,,,,,,case rate,,8695,,,,,,,case rate,,8695,,,,,,,case rate,,9999,,,,,,,case rate,,9565,,,,,,,case rate,,8434,,,,,,,case rate,,8695,,,,,,,case rate,,8695,,,,,,,case rate,,8956,,,,,,,case rate,,19564,,,,,,,case rate,,8434,19564,
Eye procedures except orbit,73,APR-DRG,,inpatient,,,25333,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25333,,,,,,,case rate,,34453,,,,,,,case rate,,25333,,,,,,,case rate,,25333,,,,,,,case rate,,25333,,,,,,,case rate,,29133,,,,,,,case rate,,27867,,,,,,,case rate,,24573,,,,,,,case rate,,25333,,,,,,,case rate,,25333,,,,,,,case rate,,26093,,,,,,,case rate,,57000,,,,,,,case rate,,24573,57000,
Eye procedures except orbit,73,APR-DRG,,inpatient,,,26482,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26482,,,,,,,case rate,,36016,,,,,,,case rate,,26482,,,,,,,case rate,,26482,,,,,,,case rate,,26482,,,,,,,case rate,,30455,,,,,,,case rate,,29131,,,,,,,case rate,,25688,,,,,,,case rate,,26482,,,,,,,case rate,,26482,,,,,,,case rate,,27277,,,,,,,case rate,,59585,,,,,,,case rate,,25688,59585,
Facial bone procedures except major cranial/facial bone procedures,92,APR-DRG,,inpatient,,,10808,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10808,,,,,,,case rate,,14699,,,,,,,case rate,,10808,,,,,,,case rate,,10808,,,,,,,case rate,,10808,,,,,,,case rate,,12430,,,,,,,case rate,,11889,,,,,,,case rate,,10484,,,,,,,case rate,,10808,,,,,,,case rate,,10808,,,,,,,case rate,,11133,,,,,,,case rate,,24319,,,,,,,case rate,,10484,24319,
Facial bone procedures except major cranial/facial bone procedures,92,APR-DRG,,inpatient,,,14024,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14024,,,,,,,case rate,,19073,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,16128,,,,,,,case rate,,15427,,,,,,,case rate,,13604,,,,,,,case rate,,14024,,,,,,,case rate,,14024,,,,,,,case rate,,14445,,,,,,,case rate,,31555,,,,,,,case rate,,13604,31555,
Facial bone procedures except major cranial/facial bone procedures,92,APR-DRG,,inpatient,,,22398,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22398,,,,,,,case rate,,30461,,,,,,,case rate,,22398,,,,,,,case rate,,22398,,,,,,,case rate,,22398,,,,,,,case rate,,25757,,,,,,,case rate,,24638,,,,,,,case rate,,21726,,,,,,,case rate,,22398,,,,,,,case rate,,22398,,,,,,,case rate,,23070,,,,,,,case rate,,50395,,,,,,,case rate,,21726,50395,
Facial bone procedures except major cranial/facial bone procedures,92,APR-DRG,,inpatient,,,75578,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,75578,,,,,,,case rate,,102786,,,,,,,case rate,,75578,,,,,,,case rate,,75578,,,,,,,case rate,,75578,,,,,,,case rate,,86915,,,,,,,case rate,,83136,,,,,,,case rate,,73311,,,,,,,case rate,,75578,,,,,,,case rate,,75578,,,,,,,case rate,,77846,,,,,,,case rate,,170051,,,,,,,case rate,,73311,170051,
False labor,565,APR-DRG,,inpatient,,,2339,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2339,,,,,,,case rate,,3181,,,,,,,case rate,,2339,,,,,,,case rate,,2339,,,,,,,case rate,,2339,,,,,,,case rate,,2690,,,,,,,case rate,,2573,,,,,,,case rate,,2269,,,,,,,case rate,,2339,,,,,,,case rate,,2339,,,,,,,case rate,,2409,,,,,,,case rate,,5263,,,,,,,case rate,,2269,5263,
False labor,565,APR-DRG,,inpatient,,,2903,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2903,,,,,,,case rate,,3947,,,,,,,case rate,,2903,,,,,,,case rate,,2903,,,,,,,case rate,,2903,,,,,,,case rate,,3338,,,,,,,case rate,,3193,,,,,,,case rate,,2815,,,,,,,case rate,,2903,,,,,,,case rate,,2903,,,,,,,case rate,,2990,,,,,,,case rate,,6531,,,,,,,case rate,,2815,6531,
False labor,565,APR-DRG,,inpatient,,,2954,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2954,,,,,,,case rate,,4017,,,,,,,case rate,,2954,,,,,,,case rate,,2954,,,,,,,case rate,,2954,,,,,,,case rate,,3397,,,,,,,case rate,,3249,,,,,,,case rate,,2865,,,,,,,case rate,,2954,,,,,,,case rate,,2954,,,,,,,case rate,,3043,,,,,,,case rate,,6646,,,,,,,case rate,,2865,6646,
False labor,565,APR-DRG,,inpatient,,,2954,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2954,,,,,,,case rate,,4017,,,,,,,case rate,,2954,,,,,,,case rate,,2954,,,,,,,case rate,,2954,,,,,,,case rate,,3397,,,,,,,case rate,,3249,,,,,,,case rate,,2865,,,,,,,case rate,,2954,,,,,,,case rate,,2954,,,,,,,case rate,,3043,,,,,,,case rate,,6646,,,,,,,case rate,,2865,6646,
Female reproductive system infections,531,APR-DRG,,inpatient,,,5550,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5550,,,,,,,case rate,,7548,,,,,,,case rate,,5550,,,,,,,case rate,,5550,,,,,,,case rate,,5550,,,,,,,case rate,,6383,,,,,,,case rate,,6105,,,,,,,case rate,,5384,,,,,,,case rate,,5550,,,,,,,case rate,,5550,,,,,,,case rate,,5717,,,,,,,case rate,,12488,,,,,,,case rate,,5384,12488,
Female reproductive system infections,531,APR-DRG,,inpatient,,,7506,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7506,,,,,,,case rate,,10208,,,,,,,case rate,,7506,,,,,,,case rate,,7506,,,,,,,case rate,,7506,,,,,,,case rate,,8632,,,,,,,case rate,,8257,,,,,,,case rate,,7281,,,,,,,case rate,,7506,,,,,,,case rate,,7506,,,,,,,case rate,,7731,,,,,,,case rate,,16889,,,,,,,case rate,,7281,16889,
Female reproductive system infections,531,APR-DRG,,inpatient,,,11912,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11912,,,,,,,case rate,,16201,,,,,,,case rate,,11912,,,,,,,case rate,,11912,,,,,,,case rate,,11912,,,,,,,case rate,,13699,,,,,,,case rate,,13103,,,,,,,case rate,,11555,,,,,,,case rate,,11912,,,,,,,case rate,,11912,,,,,,,case rate,,12270,,,,,,,case rate,,26802,,,,,,,case rate,,11555,26802,
Female reproductive system infections,531,APR-DRG,,inpatient,,,13381,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13381,,,,,,,case rate,,18198,,,,,,,case rate,,13381,,,,,,,case rate,,13381,,,,,,,case rate,,13381,,,,,,,case rate,,15388,,,,,,,case rate,,14719,,,,,,,case rate,,12980,,,,,,,case rate,,13381,,,,,,,case rate,,13381,,,,,,,case rate,,13782,,,,,,,case rate,,30107,,,,,,,case rate,,12980,30107,
Female reproductive system malignancy,530,APR-DRG,,inpatient,,,6272,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6272,,,,,,,case rate,,8529,,,,,,,case rate,,6272,,,,,,,case rate,,6272,,,,,,,case rate,,6272,,,,,,,case rate,,7212,,,,,,,case rate,,6899,,,,,,,case rate,,6083,,,,,,,case rate,,6272,,,,,,,case rate,,6272,,,,,,,case rate,,6460,,,,,,,case rate,,14111,,,,,,,case rate,,6083,14111,
Female reproductive system malignancy,530,APR-DRG,,inpatient,,,8040,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8040,,,,,,,case rate,,10935,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,9247,,,,,,,case rate,,8845,,,,,,,case rate,,7799,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,8282,,,,,,,case rate,,18091,,,,,,,case rate,,7799,18091,
Female reproductive system malignancy,530,APR-DRG,,inpatient,,,14923,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14923,,,,,,,case rate,,20295,,,,,,,case rate,,14923,,,,,,,case rate,,14923,,,,,,,case rate,,14923,,,,,,,case rate,,17161,,,,,,,case rate,,16415,,,,,,,case rate,,14475,,,,,,,case rate,,14923,,,,,,,case rate,,14923,,,,,,,case rate,,15370,,,,,,,case rate,,33576,,,,,,,case rate,,14475,33576,
Female reproductive system malignancy,530,APR-DRG,,inpatient,,,25768,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25768,,,,,,,case rate,,35044,,,,,,,case rate,,25768,,,,,,,case rate,,25768,,,,,,,case rate,,25768,,,,,,,case rate,,29633,,,,,,,case rate,,28345,,,,,,,case rate,,24995,,,,,,,case rate,,25768,,,,,,,case rate,,25768,,,,,,,case rate,,26541,,,,,,,case rate,,57978,,,,,,,case rate,,24995,57978,
Female reproductive system reconstructive procedures,514,APR-DRG,,inpatient,,,10218,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10218,,,,,,,case rate,,13897,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,11751,,,,,,,case rate,,11240,,,,,,,case rate,,9912,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,10525,,,,,,,case rate,,22991,,,,,,,case rate,,9912,22991,
Female reproductive system reconstructive procedures,514,APR-DRG,,inpatient,,,10218,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10218,,,,,,,case rate,,13897,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,11751,,,,,,,case rate,,11240,,,,,,,case rate,,9912,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,10525,,,,,,,case rate,,22991,,,,,,,case rate,,9912,22991,
Female reproductive system reconstructive procedures,514,APR-DRG,,inpatient,,,10218,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10218,,,,,,,case rate,,13897,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,11751,,,,,,,case rate,,11240,,,,,,,case rate,,9912,,,,,,,case rate,,10218,,,,,,,case rate,,10218,,,,,,,case rate,,10525,,,,,,,case rate,,22991,,,,,,,case rate,,9912,22991,
Female reproductive system reconstructive procedures,514,APR-DRG,,inpatient,,,32120,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32120,,,,,,,case rate,,43683,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,36938,,,,,,,case rate,,35332,,,,,,,case rate,,31156,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,33083,,,,,,,case rate,,72270,,,,,,,case rate,,31156,72270,
Fever,722,APR-DRG,,inpatient,,,5277,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5277,,,,,,,case rate,,7176,,,,,,,case rate,,5277,,,,,,,case rate,,5277,,,,,,,case rate,,5277,,,,,,,case rate,,6068,,,,,,,case rate,,5804,,,,,,,case rate,,5118,,,,,,,case rate,,5277,,,,,,,case rate,,5277,,,,,,,case rate,,5435,,,,,,,case rate,,11873,,,,,,,case rate,,5118,11873,
Fever,722,APR-DRG,,inpatient,,,6012,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6012,,,,,,,case rate,,8176,,,,,,,case rate,,6012,,,,,,,case rate,,6012,,,,,,,case rate,,6012,,,,,,,case rate,,6913,,,,,,,case rate,,6613,,,,,,,case rate,,5831,,,,,,,case rate,,6012,,,,,,,case rate,,6012,,,,,,,case rate,,6192,,,,,,,case rate,,13526,,,,,,,case rate,,5831,13526,
Fever,722,APR-DRG,,inpatient,,,8726,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8726,,,,,,,case rate,,11867,,,,,,,case rate,,8726,,,,,,,case rate,,8726,,,,,,,case rate,,8726,,,,,,,case rate,,10035,,,,,,,case rate,,9599,,,,,,,case rate,,8464,,,,,,,case rate,,8726,,,,,,,case rate,,8726,,,,,,,case rate,,8988,,,,,,,case rate,,19634,,,,,,,case rate,,8464,19634,
Fever,722,APR-DRG,,inpatient,,,18418,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18418,,,,,,,case rate,,25049,,,,,,,case rate,,18418,,,,,,,case rate,,18418,,,,,,,case rate,,18418,,,,,,,case rate,,21181,,,,,,,case rate,,20260,,,,,,,case rate,,17866,,,,,,,case rate,,18418,,,,,,,case rate,,18418,,,,,,,case rate,,18971,,,,,,,case rate,,41441,,,,,,,case rate,,17866,41441,
Foot & toe procedures,314,APR-DRG,,inpatient,,,10878,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10878,,,,,,,case rate,,14794,,,,,,,case rate,,10878,,,,,,,case rate,,10878,,,,,,,case rate,,10878,,,,,,,case rate,,12510,,,,,,,case rate,,11966,,,,,,,case rate,,10552,,,,,,,case rate,,10878,,,,,,,case rate,,10878,,,,,,,case rate,,11205,,,,,,,case rate,,24476,,,,,,,case rate,,10552,24476,
Foot & toe procedures,314,APR-DRG,,inpatient,,,13919,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13919,,,,,,,case rate,,18931,,,,,,,case rate,,13919,,,,,,,case rate,,13919,,,,,,,case rate,,13919,,,,,,,case rate,,16007,,,,,,,case rate,,15311,,,,,,,case rate,,13502,,,,,,,case rate,,13919,,,,,,,case rate,,13919,,,,,,,case rate,,14337,,,,,,,case rate,,31319,,,,,,,case rate,,13502,31319,
Foot & toe procedures,314,APR-DRG,,inpatient,,,20891,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20891,,,,,,,case rate,,28412,,,,,,,case rate,,20891,,,,,,,case rate,,20891,,,,,,,case rate,,20891,,,,,,,case rate,,24025,,,,,,,case rate,,22980,,,,,,,case rate,,20264,,,,,,,case rate,,20891,,,,,,,case rate,,20891,,,,,,,case rate,,21518,,,,,,,case rate,,47005,,,,,,,case rate,,20264,47005,
Foot & toe procedures,314,APR-DRG,,inpatient,,,39519,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39519,,,,,,,case rate,,53746,,,,,,,case rate,,39519,,,,,,,case rate,,39519,,,,,,,case rate,,39519,,,,,,,case rate,,45447,,,,,,,case rate,,43471,,,,,,,case rate,,38333,,,,,,,case rate,,39519,,,,,,,case rate,,39519,,,,,,,case rate,,40704,,,,,,,case rate,,88918,,,,,,,case rate,,38333,88918,
Fracture of femur,340,APR-DRG,,inpatient,,,5434,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5434,,,,,,,case rate,,7390,,,,,,,case rate,,5434,,,,,,,case rate,,5434,,,,,,,case rate,,5434,,,,,,,case rate,,6249,,,,,,,case rate,,5977,,,,,,,case rate,,5271,,,,,,,case rate,,5434,,,,,,,case rate,,5434,,,,,,,case rate,,5597,,,,,,,case rate,,12226,,,,,,,case rate,,5271,12226,
Fracture of femur,340,APR-DRG,,inpatient,,,7278,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7278,,,,,,,case rate,,9898,,,,,,,case rate,,7278,,,,,,,case rate,,7278,,,,,,,case rate,,7278,,,,,,,case rate,,8370,,,,,,,case rate,,8006,,,,,,,case rate,,7060,,,,,,,case rate,,7278,,,,,,,case rate,,7278,,,,,,,case rate,,7496,,,,,,,case rate,,16375,,,,,,,case rate,,7060,16375,
Fracture of femur,340,APR-DRG,,inpatient,,,17509,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17509,,,,,,,case rate,,23812,,,,,,,case rate,,17509,,,,,,,case rate,,17509,,,,,,,case rate,,17509,,,,,,,case rate,,20135,,,,,,,case rate,,19259,,,,,,,case rate,,16983,,,,,,,case rate,,17509,,,,,,,case rate,,17509,,,,,,,case rate,,18034,,,,,,,case rate,,39394,,,,,,,case rate,,16983,39394,
Fracture of femur,340,APR-DRG,,inpatient,,,23825,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23825,,,,,,,case rate,,32403,,,,,,,case rate,,23825,,,,,,,case rate,,23825,,,,,,,case rate,,23825,,,,,,,case rate,,27399,,,,,,,case rate,,26208,,,,,,,case rate,,23111,,,,,,,case rate,,23825,,,,,,,case rate,,23825,,,,,,,case rate,,24540,,,,,,,case rate,,53607,,,,,,,case rate,,23111,53607,
Fracture of pelvis or dislocation of hip,341,APR-DRG,,inpatient,,,5884,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5884,,,,,,,case rate,,8002,,,,,,,case rate,,5884,,,,,,,case rate,,5884,,,,,,,case rate,,5884,,,,,,,case rate,,6767,,,,,,,case rate,,6473,,,,,,,case rate,,5708,,,,,,,case rate,,5884,,,,,,,case rate,,5884,,,,,,,case rate,,6061,,,,,,,case rate,,13239,,,,,,,case rate,,5708,13239,
Fracture of pelvis or dislocation of hip,341,APR-DRG,,inpatient,,,7336,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7336,,,,,,,case rate,,9978,,,,,,,case rate,,7336,,,,,,,case rate,,7336,,,,,,,case rate,,7336,,,,,,,case rate,,8437,,,,,,,case rate,,8070,,,,,,,case rate,,7116,,,,,,,case rate,,7336,,,,,,,case rate,,7336,,,,,,,case rate,,7557,,,,,,,case rate,,16507,,,,,,,case rate,,7116,16507,
Fracture of pelvis or dislocation of hip,341,APR-DRG,,inpatient,,,9888,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9888,,,,,,,case rate,,13448,,,,,,,case rate,,9888,,,,,,,case rate,,9888,,,,,,,case rate,,9888,,,,,,,case rate,,11372,,,,,,,case rate,,10877,,,,,,,case rate,,9592,,,,,,,case rate,,9888,,,,,,,case rate,,9888,,,,,,,case rate,,10185,,,,,,,case rate,,22249,,,,,,,case rate,,9592,22249,
Fracture of pelvis or dislocation of hip,341,APR-DRG,,inpatient,,,10523,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10523,,,,,,,case rate,,14311,,,,,,,case rate,,10523,,,,,,,case rate,,10523,,,,,,,case rate,,10523,,,,,,,case rate,,12101,,,,,,,case rate,,11575,,,,,,,case rate,,10207,,,,,,,case rate,,10523,,,,,,,case rate,,10523,,,,,,,case rate,,10838,,,,,,,case rate,,23676,,,,,,,case rate,,10207,23676,
"Fractures & dislocations except femur, pelvis & back",342,APR-DRG,,inpatient,,,4570,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4570,,,,,,,case rate,,6215,,,,,,,case rate,,4570,,,,,,,case rate,,4570,,,,,,,case rate,,4570,,,,,,,case rate,,5255,,,,,,,case rate,,5027,,,,,,,case rate,,4433,,,,,,,case rate,,4570,,,,,,,case rate,,4570,,,,,,,case rate,,4707,,,,,,,case rate,,10282,,,,,,,case rate,,4433,10282,
"Fractures & dislocations except femur, pelvis & back",342,APR-DRG,,inpatient,,,6776,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6776,,,,,,,case rate,,9216,,,,,,,case rate,,6776,,,,,,,case rate,,6776,,,,,,,case rate,,6776,,,,,,,case rate,,7793,,,,,,,case rate,,7454,,,,,,,case rate,,6573,,,,,,,case rate,,6776,,,,,,,case rate,,6776,,,,,,,case rate,,6980,,,,,,,case rate,,15247,,,,,,,case rate,,6573,15247,
"Fractures & dislocations except femur, pelvis & back",342,APR-DRG,,inpatient,,,11135,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11135,,,,,,,case rate,,15144,,,,,,,case rate,,11135,,,,,,,case rate,,11135,,,,,,,case rate,,11135,,,,,,,case rate,,12805,,,,,,,case rate,,12249,,,,,,,case rate,,10801,,,,,,,case rate,,11135,,,,,,,case rate,,11135,,,,,,,case rate,,11469,,,,,,,case rate,,25054,,,,,,,case rate,,10801,25054,
"Fractures & dislocations except femur, pelvis & back",342,APR-DRG,,inpatient,,,27202,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27202,,,,,,,case rate,,36994,,,,,,,case rate,,27202,,,,,,,case rate,,27202,,,,,,,case rate,,27202,,,,,,,case rate,,31282,,,,,,,case rate,,29922,,,,,,,case rate,,26386,,,,,,,case rate,,27202,,,,,,,case rate,,27202,,,,,,,case rate,,28018,,,,,,,case rate,,61204,,,,,,,case rate,,26386,61204,
G0008 - INFLUENZA VACINATION ADM,G0008,CPT,,both,,,539,539,,21,,,,,,,fee schedule,,41,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,141,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,104,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,114,,,,,,,fee schedule,,119,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,124,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,112,,,,,,,fee schedule,,116,,,,,,,fee schedule,,253,,,,,,,fee schedule,,21,253,
G0009 - INFLUENZA PNEUMONOCOCAL VAC,G0009,CPT,,both,,,164,164,,12,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,42,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,11,76,
G0101 - SCN PELVIC & BRST,G0101,CPT,,both,,,223,223,,17,,,,,,,fee schedule,,56,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,63,,,,,,,fee schedule,,44,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,13,114,
G0102 - PROSTATE CA SCREENING,G0102,CPT,,both,,,49,49,,5,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,37,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,5,66,
G0108 - DIABETIC EDUC/INDIVID/30 MIN,G0108,CPT,,both,,,526,526,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,114,,,,,,,fee schedule,,114,,,,,,,fee schedule,,187,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,95,336,
G0268 - REMOVE IMP CERUMEN,G0268,CPT,,both,,,332,332,,  ,,,,,,,fee schedule,,1880,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,4134,,,,,,,fee schedule,,290,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,255,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,232,,,,,,,fee schedule,,239,,,,,,,fee schedule,,522,,,,,,,fee schedule,,232,4134,
G0270 - MED NUTR THER REASSESWPAT15MIN,G0270,CPT,,both,,,975,975,,68,,,,,,,fee schedule,,53,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,60,,,,,,,fee schedule,,60,,,,,,,fee schedule,,347,,,,,,,fee schedule,,230,,,,,,,fee schedule,,230,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,305,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,277,,,,,,,fee schedule,,286,,,,,,,fee schedule,,624,,,,,,,fee schedule,,53,624,
G0378 - HOSPITAL OBSERVATION PER HOUR,G0378,CPT,,both,,,,,,256,,,,,,,fee schedule,,6841,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,5292,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,224,6841,
G0396 - ALCOHOL/SUBS INTERV 15-30MN,G0396,CPT,,both,,,109,109,,28,,,,,,,fee schedule,,65,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,124,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,30,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,35,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,109,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,99,,,,,,,fee schedule,,102,,,,,,,fee schedule,,222,,,,,,,fee schedule,,19,222,
"G0442 - ANNUAL ALCOHOLMISUSE SCRE, 15M",G0442,CPT,,both,,,19,19,,5,,,,,,,fee schedule,,18,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,42,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,5,76,
"G0443 - FTF COUNS ALCOHOLMISUSE,15 MIN",G0443,CPT,,both,,,133,133,,14,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,18,,,,,,,fee schedule,,18,,,,,,,fee schedule,,42,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,76,
"G0444 - DEPRESSION SCREENING, 15 MIN",G0444,CPT,,both,,,378,378,,18,,,,,,,fee schedule,,19,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,32,,,,,,,fee schedule,,32,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,16,162,
G0446 - INTENS BEHAVE THER CARDIO DX,G0446,CPT,,both,,,685,685,,81,,,,,,,fee schedule,,46,,,,,,,fee schedule,,273,,,,,,,fee schedule,,273,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,347,,,,,,,fee schedule,,146,,,,,,,fee schedule,,146,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,161,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,177,,,,,,,fee schedule,,185,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,347,
G0447 - BEHAVIOR COUNSEL OBESITY 15M,G0447,CPT,,both,,,111,111,,14,,,,,,,fee schedule,,46,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,14,76,
Gastrointestinal vascular insufficiency,246,APR-DRG,,inpatient,,,6404,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6404,,,,,,,case rate,,8710,,,,,,,case rate,,6404,,,,,,,case rate,,6404,,,,,,,case rate,,6404,,,,,,,case rate,,7365,,,,,,,case rate,,7045,,,,,,,case rate,,6212,,,,,,,case rate,,6404,,,,,,,case rate,,6404,,,,,,,case rate,,6596,,,,,,,case rate,,14409,,,,,,,case rate,,6212,14409,
Gastrointestinal vascular insufficiency,246,APR-DRG,,inpatient,,,8064,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8064,,,,,,,case rate,,10967,,,,,,,case rate,,8064,,,,,,,case rate,,8064,,,,,,,case rate,,8064,,,,,,,case rate,,9274,,,,,,,case rate,,8871,,,,,,,case rate,,7822,,,,,,,case rate,,8064,,,,,,,case rate,,8064,,,,,,,case rate,,8306,,,,,,,case rate,,18144,,,,,,,case rate,,7822,18144,
Gastrointestinal vascular insufficiency,246,APR-DRG,,inpatient,,,13286,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13286,,,,,,,case rate,,18069,,,,,,,case rate,,13286,,,,,,,case rate,,13286,,,,,,,case rate,,13286,,,,,,,case rate,,15279,,,,,,,case rate,,14615,,,,,,,case rate,,12888,,,,,,,case rate,,13286,,,,,,,case rate,,13286,,,,,,,case rate,,13685,,,,,,,case rate,,29894,,,,,,,case rate,,12888,29894,
Gastrointestinal vascular insufficiency,246,APR-DRG,,inpatient,,,29308,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29308,,,,,,,case rate,,39858,,,,,,,case rate,,29308,,,,,,,case rate,,29308,,,,,,,case rate,,29308,,,,,,,case rate,,33704,,,,,,,case rate,,32238,,,,,,,case rate,,28428,,,,,,,case rate,,29308,,,,,,,case rate,,29308,,,,,,,case rate,,30187,,,,,,,case rate,,65942,,,,,,,case rate,,28428,65942,
Hand & wrist procedures,316,APR-DRG,,inpatient,,,7364,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7364,,,,,,,case rate,,10015,,,,,,,case rate,,7364,,,,,,,case rate,,7364,,,,,,,case rate,,7364,,,,,,,case rate,,8469,,,,,,,case rate,,8101,,,,,,,case rate,,7143,,,,,,,case rate,,7364,,,,,,,case rate,,7364,,,,,,,case rate,,7585,,,,,,,case rate,,16569,,,,,,,case rate,,7143,16569,
Hand & wrist procedures,316,APR-DRG,,inpatient,,,12134,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12134,,,,,,,case rate,,16503,,,,,,,case rate,,12134,,,,,,,case rate,,12134,,,,,,,case rate,,12134,,,,,,,case rate,,13954,,,,,,,case rate,,13348,,,,,,,case rate,,11770,,,,,,,case rate,,12134,,,,,,,case rate,,12134,,,,,,,case rate,,12498,,,,,,,case rate,,27302,,,,,,,case rate,,11770,27302,
Hand & wrist procedures,316,APR-DRG,,inpatient,,,21924,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21924,,,,,,,case rate,,29817,,,,,,,case rate,,21924,,,,,,,case rate,,21924,,,,,,,case rate,,21924,,,,,,,case rate,,25213,,,,,,,case rate,,24116,,,,,,,case rate,,21266,,,,,,,case rate,,21924,,,,,,,case rate,,21924,,,,,,,case rate,,22582,,,,,,,case rate,,49329,,,,,,,case rate,,21266,49329,
Hand & wrist procedures,316,APR-DRG,,inpatient,,,24538,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24538,,,,,,,case rate,,33371,,,,,,,case rate,,24538,,,,,,,case rate,,24538,,,,,,,case rate,,24538,,,,,,,case rate,,28218,,,,,,,case rate,,26991,,,,,,,case rate,,23802,,,,,,,case rate,,24538,,,,,,,case rate,,24538,,,,,,,case rate,,25274,,,,,,,case rate,,55210,,,,,,,case rate,,23802,55210,
Head trauma w coma >1 hr or hemorrhage,55,APR-DRG,,inpatient,,,5724,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5724,,,,,,,case rate,,7784,,,,,,,case rate,,5724,,,,,,,case rate,,5724,,,,,,,case rate,,5724,,,,,,,case rate,,6582,,,,,,,case rate,,6296,,,,,,,case rate,,5552,,,,,,,case rate,,5724,,,,,,,case rate,,5724,,,,,,,case rate,,5896,,,,,,,case rate,,12879,,,,,,,case rate,,5552,12879,
Head trauma w coma >1 hr or hemorrhage,55,APR-DRG,,inpatient,,,9019,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9019,,,,,,,case rate,,12266,,,,,,,case rate,,9019,,,,,,,case rate,,9019,,,,,,,case rate,,9019,,,,,,,case rate,,10372,,,,,,,case rate,,9921,,,,,,,case rate,,8748,,,,,,,case rate,,9019,,,,,,,case rate,,9019,,,,,,,case rate,,9290,,,,,,,case rate,,20293,,,,,,,case rate,,8748,20293,
Head trauma w coma >1 hr or hemorrhage,55,APR-DRG,,inpatient,,,15425,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15425,,,,,,,case rate,,20978,,,,,,,case rate,,15425,,,,,,,case rate,,15425,,,,,,,case rate,,15425,,,,,,,case rate,,17739,,,,,,,case rate,,16968,,,,,,,case rate,,14962,,,,,,,case rate,,15425,,,,,,,case rate,,15425,,,,,,,case rate,,15888,,,,,,,case rate,,34707,,,,,,,case rate,,14962,34707,
Head trauma w coma >1 hr or hemorrhage,55,APR-DRG,,inpatient,,,34773,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34773,,,,,,,case rate,,47291,,,,,,,case rate,,34773,,,,,,,case rate,,34773,,,,,,,case rate,,34773,,,,,,,case rate,,39988,,,,,,,case rate,,38250,,,,,,,case rate,,33729,,,,,,,case rate,,34773,,,,,,,case rate,,34773,,,,,,,case rate,,35816,,,,,,,case rate,,78238,,,,,,,case rate,,33729,78238,
Heart &/or lung transplant,2,APR-DRG,,inpatient,,,124365,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,124365,,,,,,,case rate,,169136,,,,,,,case rate,,124365,,,,,,,case rate,,124365,,,,,,,case rate,,124365,,,,,,,case rate,,143020,,,,,,,case rate,,136801,,,,,,,case rate,,120634,,,,,,,case rate,,124365,,,,,,,case rate,,124365,,,,,,,case rate,,128096,,,,,,,case rate,,279821,,,,,,,case rate,,120634,279821,
Heart &/or lung transplant,2,APR-DRG,,inpatient,,,132029,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,132029,,,,,,,case rate,,179560,,,,,,,case rate,,132029,,,,,,,case rate,,132029,,,,,,,case rate,,132029,,,,,,,case rate,,151834,,,,,,,case rate,,145232,,,,,,,case rate,,128068,,,,,,,case rate,,132029,,,,,,,case rate,,132029,,,,,,,case rate,,135990,,,,,,,case rate,,297066,,,,,,,case rate,,128068,297066,
Heart &/or lung transplant,2,APR-DRG,,inpatient,,,154877,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,154877,,,,,,,case rate,,210633,,,,,,,case rate,,154877,,,,,,,case rate,,154877,,,,,,,case rate,,154877,,,,,,,case rate,,178109,,,,,,,case rate,,170365,,,,,,,case rate,,150231,,,,,,,case rate,,154877,,,,,,,case rate,,154877,,,,,,,case rate,,159523,,,,,,,case rate,,348474,,,,,,,case rate,,150231,348474,
Heart &/or lung transplant,2,APR-DRG,,inpatient,,,358634,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,358634,,,,,,,case rate,,487743,,,,,,,case rate,,358634,,,,,,,case rate,,358634,,,,,,,case rate,,358634,,,,,,,case rate,,412430,,,,,,,case rate,,394498,,,,,,,case rate,,347875,,,,,,,case rate,,358634,,,,,,,case rate,,358634,,,,,,,case rate,,369393,,,,,,,case rate,,806927,,,,,,,case rate,,347875,806927,
Heart failure,194,APR-DRG,,inpatient,,,5856,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5856,,,,,,,case rate,,7965,,,,,,,case rate,,5856,,,,,,,case rate,,5856,,,,,,,case rate,,5856,,,,,,,case rate,,6735,,,,,,,case rate,,6442,,,,,,,case rate,,5681,,,,,,,case rate,,5856,,,,,,,case rate,,5856,,,,,,,case rate,,6032,,,,,,,case rate,,13177,,,,,,,case rate,,5681,13177,
Heart failure,194,APR-DRG,,inpatient,,,8132,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8132,,,,,,,case rate,,11059,,,,,,,case rate,,8132,,,,,,,case rate,,8132,,,,,,,case rate,,8132,,,,,,,case rate,,9352,,,,,,,case rate,,8945,,,,,,,case rate,,7888,,,,,,,case rate,,8132,,,,,,,case rate,,8132,,,,,,,case rate,,8376,,,,,,,case rate,,18297,,,,,,,case rate,,7888,18297,
Heart failure,194,APR-DRG,,inpatient,,,13297,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13297,,,,,,,case rate,,18083,,,,,,,case rate,,13297,,,,,,,case rate,,13297,,,,,,,case rate,,13297,,,,,,,case rate,,15291,,,,,,,case rate,,14626,,,,,,,case rate,,12898,,,,,,,case rate,,13297,,,,,,,case rate,,13297,,,,,,,case rate,,13696,,,,,,,case rate,,29917,,,,,,,case rate,,12898,29917,
Heart failure,194,APR-DRG,,inpatient,,,29687,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29687,,,,,,,case rate,,40374,,,,,,,case rate,,29687,,,,,,,case rate,,29687,,,,,,,case rate,,29687,,,,,,,case rate,,34140,,,,,,,case rate,,32656,,,,,,,case rate,,28796,,,,,,,case rate,,29687,,,,,,,case rate,,29687,,,,,,,case rate,,30578,,,,,,,case rate,,66796,,,,,,,case rate,,28796,66796,
Hepatic coma & other major acute liver disorders,279,APR-DRG,,inpatient,,,5649,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5649,,,,,,,case rate,,7682,,,,,,,case rate,,5649,,,,,,,case rate,,5649,,,,,,,case rate,,5649,,,,,,,case rate,,6496,,,,,,,case rate,,6214,,,,,,,case rate,,5479,,,,,,,case rate,,5649,,,,,,,case rate,,5649,,,,,,,case rate,,5818,,,,,,,case rate,,12710,,,,,,,case rate,,5479,12710,
Hepatic coma & other major acute liver disorders,279,APR-DRG,,inpatient,,,8040,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8040,,,,,,,case rate,,10935,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,9247,,,,,,,case rate,,8845,,,,,,,case rate,,7799,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,8282,,,,,,,case rate,,18091,,,,,,,case rate,,7799,18091,
Hepatic coma & other major acute liver disorders,279,APR-DRG,,inpatient,,,13954,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13954,,,,,,,case rate,,18978,,,,,,,case rate,,13954,,,,,,,case rate,,13954,,,,,,,case rate,,13954,,,,,,,case rate,,16048,,,,,,,case rate,,15350,,,,,,,case rate,,13536,,,,,,,case rate,,13954,,,,,,,case rate,,13954,,,,,,,case rate,,14373,,,,,,,case rate,,31397,,,,,,,case rate,,13536,31397,
Hepatic coma & other major acute liver disorders,279,APR-DRG,,inpatient,,,38080,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38080,,,,,,,case rate,,51789,,,,,,,case rate,,38080,,,,,,,case rate,,38080,,,,,,,case rate,,38080,,,,,,,case rate,,43792,,,,,,,case rate,,41888,,,,,,,case rate,,36938,,,,,,,case rate,,38080,,,,,,,case rate,,38080,,,,,,,case rate,,39222,,,,,,,case rate,,85680,,,,,,,case rate,,36938,85680,
"Hernia procedures except inguinal, femoral & umbilical",227,APR-DRG,,inpatient,,,10683,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10683,,,,,,,case rate,,14529,,,,,,,case rate,,10683,,,,,,,case rate,,10683,,,,,,,case rate,,10683,,,,,,,case rate,,12285,,,,,,,case rate,,11751,,,,,,,case rate,,10362,,,,,,,case rate,,10683,,,,,,,case rate,,10683,,,,,,,case rate,,11003,,,,,,,case rate,,24037,,,,,,,case rate,,10362,24037,
"Hernia procedures except inguinal, femoral & umbilical",227,APR-DRG,,inpatient,,,13879,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13879,,,,,,,case rate,,18876,,,,,,,case rate,,13879,,,,,,,case rate,,13879,,,,,,,case rate,,13879,,,,,,,case rate,,15961,,,,,,,case rate,,15267,,,,,,,case rate,,13463,,,,,,,case rate,,13879,,,,,,,case rate,,13879,,,,,,,case rate,,14296,,,,,,,case rate,,31229,,,,,,,case rate,,13463,31229,
"Hernia procedures except inguinal, femoral & umbilical",227,APR-DRG,,inpatient,,,23829,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23829,,,,,,,case rate,,32407,,,,,,,case rate,,23829,,,,,,,case rate,,23829,,,,,,,case rate,,23829,,,,,,,case rate,,27403,,,,,,,case rate,,26211,,,,,,,case rate,,23114,,,,,,,case rate,,23829,,,,,,,case rate,,23829,,,,,,,case rate,,24543,,,,,,,case rate,,53614,,,,,,,case rate,,23114,53614,
"Hernia procedures except inguinal, femoral & umbilical",227,APR-DRG,,inpatient,,,54203,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,54203,,,,,,,case rate,,73716,,,,,,,case rate,,54203,,,,,,,case rate,,54203,,,,,,,case rate,,54203,,,,,,,case rate,,62334,,,,,,,case rate,,59623,,,,,,,case rate,,52577,,,,,,,case rate,,54203,,,,,,,case rate,,54203,,,,,,,case rate,,55829,,,,,,,case rate,,121957,,,,,,,case rate,,52577,121957,
Hip and femur fracture repair,308,APR-DRG,,inpatient,,,13727,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13727,,,,,,,case rate,,18669,,,,,,,case rate,,13727,,,,,,,case rate,,13727,,,,,,,case rate,,13727,,,,,,,case rate,,15786,,,,,,,case rate,,15100,,,,,,,case rate,,13315,,,,,,,case rate,,13727,,,,,,,case rate,,13727,,,,,,,case rate,,14139,,,,,,,case rate,,30886,,,,,,,case rate,,13315,30886,
Hip and femur fracture repair,308,APR-DRG,,inpatient,,,18899,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18899,,,,,,,case rate,,25703,,,,,,,case rate,,18899,,,,,,,case rate,,18899,,,,,,,case rate,,18899,,,,,,,case rate,,21734,,,,,,,case rate,,20789,,,,,,,case rate,,18332,,,,,,,case rate,,18899,,,,,,,case rate,,18899,,,,,,,case rate,,19466,,,,,,,case rate,,42523,,,,,,,case rate,,18332,42523,
Hip and femur fracture repair,308,APR-DRG,,inpatient,,,28220,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28220,,,,,,,case rate,,38380,,,,,,,case rate,,28220,,,,,,,case rate,,28220,,,,,,,case rate,,28220,,,,,,,case rate,,32453,,,,,,,case rate,,31042,,,,,,,case rate,,27374,,,,,,,case rate,,28220,,,,,,,case rate,,28220,,,,,,,case rate,,29067,,,,,,,case rate,,63496,,,,,,,case rate,,27374,63496,
Hip and femur fracture repair,308,APR-DRG,,inpatient,,,59292,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,59292,,,,,,,case rate,,80637,,,,,,,case rate,,59292,,,,,,,case rate,,59292,,,,,,,case rate,,59292,,,,,,,case rate,,68185,,,,,,,case rate,,65221,,,,,,,case rate,,57513,,,,,,,case rate,,59292,,,,,,,case rate,,59292,,,,,,,case rate,,61070,,,,,,,case rate,,133406,,,,,,,case rate,,57513,133406,
Hip joint replacement,301,APR-DRG,,inpatient,,,18967,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18967,,,,,,,case rate,,25795,,,,,,,case rate,,18967,,,,,,,case rate,,18967,,,,,,,case rate,,18967,,,,,,,case rate,,21812,,,,,,,case rate,,20864,,,,,,,case rate,,18398,,,,,,,case rate,,18967,,,,,,,case rate,,18967,,,,,,,case rate,,19536,,,,,,,case rate,,42676,,,,,,,case rate,,18398,42676,
Hip joint replacement,301,APR-DRG,,inpatient,,,19712,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19712,,,,,,,case rate,,26809,,,,,,,case rate,,19712,,,,,,,case rate,,19712,,,,,,,case rate,,19712,,,,,,,case rate,,22669,,,,,,,case rate,,21683,,,,,,,case rate,,19121,,,,,,,case rate,,19712,,,,,,,case rate,,19712,,,,,,,case rate,,20304,,,,,,,case rate,,44352,,,,,,,case rate,,19121,44352,
Hip joint replacement,301,APR-DRG,,inpatient,,,26072,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26072,,,,,,,case rate,,35458,,,,,,,case rate,,26072,,,,,,,case rate,,26072,,,,,,,case rate,,26072,,,,,,,case rate,,29983,,,,,,,case rate,,28679,,,,,,,case rate,,25290,,,,,,,case rate,,26072,,,,,,,case rate,,26072,,,,,,,case rate,,26854,,,,,,,case rate,,58662,,,,,,,case rate,,25290,58662,
Hip joint replacement,301,APR-DRG,,inpatient,,,62220,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62220,,,,,,,case rate,,84619,,,,,,,case rate,,62220,,,,,,,case rate,,62220,,,,,,,case rate,,62220,,,,,,,case rate,,71553,,,,,,,case rate,,68442,,,,,,,case rate,,60353,,,,,,,case rate,,62220,,,,,,,case rate,,62220,,,,,,,case rate,,64087,,,,,,,case rate,,139995,,,,,,,case rate,,60353,139995,
HIV w major HIV related condition,892,APR-DRG,,inpatient,,,7401,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7401,,,,,,,case rate,,10066,,,,,,,case rate,,7401,,,,,,,case rate,,7401,,,,,,,case rate,,7401,,,,,,,case rate,,8511,,,,,,,case rate,,8141,,,,,,,case rate,,7179,,,,,,,case rate,,7401,,,,,,,case rate,,7401,,,,,,,case rate,,7623,,,,,,,case rate,,16653,,,,,,,case rate,,7179,16653,
HIV w major HIV related condition,892,APR-DRG,,inpatient,,,9590,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9590,,,,,,,case rate,,13043,,,,,,,case rate,,9590,,,,,,,case rate,,9590,,,,,,,case rate,,9590,,,,,,,case rate,,11029,,,,,,,case rate,,10549,,,,,,,case rate,,9303,,,,,,,case rate,,9590,,,,,,,case rate,,9590,,,,,,,case rate,,9878,,,,,,,case rate,,21578,,,,,,,case rate,,9303,21578,
HIV w major HIV related condition,892,APR-DRG,,inpatient,,,13459,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13459,,,,,,,case rate,,18304,,,,,,,case rate,,13459,,,,,,,case rate,,13459,,,,,,,case rate,,13459,,,,,,,case rate,,15478,,,,,,,case rate,,14805,,,,,,,case rate,,13055,,,,,,,case rate,,13459,,,,,,,case rate,,13459,,,,,,,case rate,,13863,,,,,,,case rate,,30283,,,,,,,case rate,,13055,30283,
HIV w major HIV related condition,892,APR-DRG,,inpatient,,,23994,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23994,,,,,,,case rate,,32632,,,,,,,case rate,,23994,,,,,,,case rate,,23994,,,,,,,case rate,,23994,,,,,,,case rate,,27593,,,,,,,case rate,,26393,,,,,,,case rate,,23274,,,,,,,case rate,,23994,,,,,,,case rate,,23994,,,,,,,case rate,,24714,,,,,,,case rate,,53986,,,,,,,case rate,,23274,53986,
HIV w multiple major HIV related conditions,890,APR-DRG,,inpatient,,,11445,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11445,,,,,,,case rate,,15565,,,,,,,case rate,,11445,,,,,,,case rate,,11445,,,,,,,case rate,,11445,,,,,,,case rate,,13161,,,,,,,case rate,,12589,,,,,,,case rate,,11101,,,,,,,case rate,,11445,,,,,,,case rate,,11445,,,,,,,case rate,,11788,,,,,,,case rate,,25750,,,,,,,case rate,,11101,25750,
HIV w multiple major HIV related conditions,890,APR-DRG,,inpatient,,,11461,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11461,,,,,,,case rate,,15587,,,,,,,case rate,,11461,,,,,,,case rate,,11461,,,,,,,case rate,,11461,,,,,,,case rate,,13180,,,,,,,case rate,,12607,,,,,,,case rate,,11117,,,,,,,case rate,,11461,,,,,,,case rate,,11461,,,,,,,case rate,,11805,,,,,,,case rate,,25787,,,,,,,case rate,,11117,25787,
HIV w multiple major HIV related conditions,890,APR-DRG,,inpatient,,,19795,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19795,,,,,,,case rate,,26922,,,,,,,case rate,,19795,,,,,,,case rate,,19795,,,,,,,case rate,,19795,,,,,,,case rate,,22765,,,,,,,case rate,,21775,,,,,,,case rate,,19202,,,,,,,case rate,,19795,,,,,,,case rate,,19795,,,,,,,case rate,,20389,,,,,,,case rate,,44540,,,,,,,case rate,,19202,44540,
HIV w multiple major HIV related conditions,890,APR-DRG,,inpatient,,,38918,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38918,,,,,,,case rate,,52928,,,,,,,case rate,,38918,,,,,,,case rate,,38918,,,,,,,case rate,,38918,,,,,,,case rate,,44755,,,,,,,case rate,,42809,,,,,,,case rate,,37750,,,,,,,case rate,,38918,,,,,,,case rate,,38918,,,,,,,case rate,,40085,,,,,,,case rate,,87565,,,,,,,case rate,,37750,87565,
HIV w multiple significant HIV related conditions,893,APR-DRG,,inpatient,,,8040,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8040,,,,,,,case rate,,10935,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,9247,,,,,,,case rate,,8845,,,,,,,case rate,,7799,,,,,,,case rate,,8040,,,,,,,case rate,,8040,,,,,,,case rate,,8282,,,,,,,case rate,,18091,,,,,,,case rate,,7799,18091,
HIV w multiple significant HIV related conditions,893,APR-DRG,,inpatient,,,9502,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9502,,,,,,,case rate,,12923,,,,,,,case rate,,9502,,,,,,,case rate,,9502,,,,,,,case rate,,9502,,,,,,,case rate,,10927,,,,,,,case rate,,10452,,,,,,,case rate,,9217,,,,,,,case rate,,9502,,,,,,,case rate,,9502,,,,,,,case rate,,9787,,,,,,,case rate,,21380,,,,,,,case rate,,9217,21380,
HIV w multiple significant HIV related conditions,893,APR-DRG,,inpatient,,,14928,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14928,,,,,,,case rate,,20302,,,,,,,case rate,,14928,,,,,,,case rate,,14928,,,,,,,case rate,,14928,,,,,,,case rate,,17167,,,,,,,case rate,,16421,,,,,,,case rate,,14480,,,,,,,case rate,,14928,,,,,,,case rate,,14928,,,,,,,case rate,,15376,,,,,,,case rate,,33587,,,,,,,case rate,,14480,33587,
HIV w multiple significant HIV related conditions,893,APR-DRG,,inpatient,,,15226,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15226,,,,,,,case rate,,20707,,,,,,,case rate,,15226,,,,,,,case rate,,15226,,,,,,,case rate,,15226,,,,,,,case rate,,17510,,,,,,,case rate,,16748,,,,,,,case rate,,14769,,,,,,,case rate,,15226,,,,,,,case rate,,15226,,,,,,,case rate,,15683,,,,,,,case rate,,34258,,,,,,,case rate,,14769,34258,
HIV w one signif HIV cond or w/o signif related cond,894,APR-DRG,,inpatient,,,6309,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6309,,,,,,,case rate,,8580,,,,,,,case rate,,6309,,,,,,,case rate,,6309,,,,,,,case rate,,6309,,,,,,,case rate,,7255,,,,,,,case rate,,6940,,,,,,,case rate,,6119,,,,,,,case rate,,6309,,,,,,,case rate,,6309,,,,,,,case rate,,6498,,,,,,,case rate,,14194,,,,,,,case rate,,6119,14194,
HIV w one signif HIV cond or w/o signif related cond,894,APR-DRG,,inpatient,,,7832,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7832,,,,,,,case rate,,10651,,,,,,,case rate,,7832,,,,,,,case rate,,7832,,,,,,,case rate,,7832,,,,,,,case rate,,9007,,,,,,,case rate,,8615,,,,,,,case rate,,7597,,,,,,,case rate,,7832,,,,,,,case rate,,7832,,,,,,,case rate,,8067,,,,,,,case rate,,17622,,,,,,,case rate,,7597,17622,
HIV w one signif HIV cond or w/o signif related cond,894,APR-DRG,,inpatient,,,11914,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11914,,,,,,,case rate,,16203,,,,,,,case rate,,11914,,,,,,,case rate,,11914,,,,,,,case rate,,11914,,,,,,,case rate,,13701,,,,,,,case rate,,13106,,,,,,,case rate,,11557,,,,,,,case rate,,11914,,,,,,,case rate,,11914,,,,,,,case rate,,12272,,,,,,,case rate,,26807,,,,,,,case rate,,11557,26807,
HIV w one signif HIV cond or w/o signif related cond,894,APR-DRG,,inpatient,,,11914,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11914,,,,,,,case rate,,16203,,,,,,,case rate,,11914,,,,,,,case rate,,11914,,,,,,,case rate,,11914,,,,,,,case rate,,13701,,,,,,,case rate,,13106,,,,,,,case rate,,11557,,,,,,,case rate,,11914,,,,,,,case rate,,11914,,,,,,,case rate,,12272,,,,,,,case rate,,26807,,,,,,,case rate,,11557,26807,
Hypertension,199,APR-DRG,,inpatient,,,4651,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4651,,,,,,,case rate,,6325,,,,,,,case rate,,4651,,,,,,,case rate,,4651,,,,,,,case rate,,4651,,,,,,,case rate,,5348,,,,,,,case rate,,5116,,,,,,,case rate,,4511,,,,,,,case rate,,4651,,,,,,,case rate,,4651,,,,,,,case rate,,4790,,,,,,,case rate,,10464,,,,,,,case rate,,4511,10464,
Hypertension,199,APR-DRG,,inpatient,,,6089,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6089,,,,,,,case rate,,8281,,,,,,,case rate,,6089,,,,,,,case rate,,6089,,,,,,,case rate,,6089,,,,,,,case rate,,7002,,,,,,,case rate,,6698,,,,,,,case rate,,5906,,,,,,,case rate,,6089,,,,,,,case rate,,6089,,,,,,,case rate,,6271,,,,,,,case rate,,13700,,,,,,,case rate,,5906,13700,
Hypertension,199,APR-DRG,,inpatient,,,9578,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9578,,,,,,,case rate,,13026,,,,,,,case rate,,9578,,,,,,,case rate,,9578,,,,,,,case rate,,9578,,,,,,,case rate,,11015,,,,,,,case rate,,10536,,,,,,,case rate,,9291,,,,,,,case rate,,9578,,,,,,,case rate,,9578,,,,,,,case rate,,9865,,,,,,,case rate,,21551,,,,,,,case rate,,9291,21551,
Hypertension,199,APR-DRG,,inpatient,,,25246,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25246,,,,,,,case rate,,34334,,,,,,,case rate,,25246,,,,,,,case rate,,25246,,,,,,,case rate,,25246,,,,,,,case rate,,29033,,,,,,,case rate,,27770,,,,,,,case rate,,24488,,,,,,,case rate,,25246,,,,,,,case rate,,25246,,,,,,,case rate,,26003,,,,,,,case rate,,56803,,,,,,,case rate,,24488,56803,
Hypovolemia & related electrolyte disorders,422,APR-DRG,,inpatient,,,3886,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3886,,,,,,,case rate,,5285,,,,,,,case rate,,3886,,,,,,,case rate,,3886,,,,,,,case rate,,3886,,,,,,,case rate,,4469,,,,,,,case rate,,4275,,,,,,,case rate,,3770,,,,,,,case rate,,3886,,,,,,,case rate,,3886,,,,,,,case rate,,4003,,,,,,,case rate,,8744,,,,,,,case rate,,3770,8744,
Hypovolemia & related electrolyte disorders,422,APR-DRG,,inpatient,,,5406,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5406,,,,,,,case rate,,7352,,,,,,,case rate,,5406,,,,,,,case rate,,5406,,,,,,,case rate,,5406,,,,,,,case rate,,6217,,,,,,,case rate,,5947,,,,,,,case rate,,5244,,,,,,,case rate,,5406,,,,,,,case rate,,5406,,,,,,,case rate,,5568,,,,,,,case rate,,12164,,,,,,,case rate,,5244,12164,
Hypovolemia & related electrolyte disorders,422,APR-DRG,,inpatient,,,9271,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9271,,,,,,,case rate,,12608,,,,,,,case rate,,9271,,,,,,,case rate,,9271,,,,,,,case rate,,9271,,,,,,,case rate,,10661,,,,,,,case rate,,10198,,,,,,,case rate,,8993,,,,,,,case rate,,9271,,,,,,,case rate,,9271,,,,,,,case rate,,9549,,,,,,,case rate,,20859,,,,,,,case rate,,8993,20859,
Hypovolemia & related electrolyte disorders,422,APR-DRG,,inpatient,,,23334,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23334,,,,,,,case rate,,31734,,,,,,,case rate,,23334,,,,,,,case rate,,23334,,,,,,,case rate,,23334,,,,,,,case rate,,26834,,,,,,,case rate,,25668,,,,,,,case rate,,22634,,,,,,,case rate,,23334,,,,,,,case rate,,23334,,,,,,,case rate,,24034,,,,,,,case rate,,52502,,,,,,,case rate,,22634,52502,
Inborn errors of metabolism,423,APR-DRG,,inpatient,,,6315,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6315,,,,,,,case rate,,8588,,,,,,,case rate,,6315,,,,,,,case rate,,6315,,,,,,,case rate,,6315,,,,,,,case rate,,7262,,,,,,,case rate,,6946,,,,,,,case rate,,6125,,,,,,,case rate,,6315,,,,,,,case rate,,6315,,,,,,,case rate,,6504,,,,,,,case rate,,14208,,,,,,,case rate,,6125,14208,
Inborn errors of metabolism,423,APR-DRG,,inpatient,,,10394,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10394,,,,,,,case rate,,14136,,,,,,,case rate,,10394,,,,,,,case rate,,10394,,,,,,,case rate,,10394,,,,,,,case rate,,11953,,,,,,,case rate,,11434,,,,,,,case rate,,10082,,,,,,,case rate,,10394,,,,,,,case rate,,10394,,,,,,,case rate,,10706,,,,,,,case rate,,23387,,,,,,,case rate,,10082,23387,
Inborn errors of metabolism,423,APR-DRG,,inpatient,,,16443,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16443,,,,,,,case rate,,22362,,,,,,,case rate,,16443,,,,,,,case rate,,16443,,,,,,,case rate,,16443,,,,,,,case rate,,18909,,,,,,,case rate,,18087,,,,,,,case rate,,15949,,,,,,,case rate,,16443,,,,,,,case rate,,16443,,,,,,,case rate,,16936,,,,,,,case rate,,36996,,,,,,,case rate,,15949,36996,
Inborn errors of metabolism,423,APR-DRG,,inpatient,,,55895,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,55895,,,,,,,case rate,,76017,,,,,,,case rate,,55895,,,,,,,case rate,,55895,,,,,,,case rate,,55895,,,,,,,case rate,,64279,,,,,,,case rate,,61484,,,,,,,case rate,,54218,,,,,,,case rate,,55895,,,,,,,case rate,,55895,,,,,,,case rate,,57572,,,,,,,case rate,,125763,,,,,,,case rate,,54218,125763,
Infections of upper respiratory tract,113,APR-DRG,,inpatient,,,3989,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3989,,,,,,,case rate,,5425,,,,,,,case rate,,3989,,,,,,,case rate,,3989,,,,,,,case rate,,3989,,,,,,,case rate,,4587,,,,,,,case rate,,4388,,,,,,,case rate,,3869,,,,,,,case rate,,3989,,,,,,,case rate,,3989,,,,,,,case rate,,4109,,,,,,,case rate,,8975,,,,,,,case rate,,3869,8975,
Infections of upper respiratory tract,113,APR-DRG,,inpatient,,,5112,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5112,,,,,,,case rate,,6953,,,,,,,case rate,,5112,,,,,,,case rate,,5112,,,,,,,case rate,,5112,,,,,,,case rate,,5879,,,,,,,case rate,,5624,,,,,,,case rate,,4959,,,,,,,case rate,,5112,,,,,,,case rate,,5112,,,,,,,case rate,,5266,,,,,,,case rate,,11503,,,,,,,case rate,,4959,11503,
Infections of upper respiratory tract,113,APR-DRG,,inpatient,,,8002,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8002,,,,,,,case rate,,10883,,,,,,,case rate,,8002,,,,,,,case rate,,8002,,,,,,,case rate,,8002,,,,,,,case rate,,9203,,,,,,,case rate,,8803,,,,,,,case rate,,7762,,,,,,,case rate,,8002,,,,,,,case rate,,8002,,,,,,,case rate,,8243,,,,,,,case rate,,18006,,,,,,,case rate,,7762,18006,
Infections of upper respiratory tract,113,APR-DRG,,inpatient,,,21444,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21444,,,,,,,case rate,,29164,,,,,,,case rate,,21444,,,,,,,case rate,,21444,,,,,,,case rate,,21444,,,,,,,case rate,,24661,,,,,,,case rate,,23588,,,,,,,case rate,,20801,,,,,,,case rate,,21444,,,,,,,case rate,,21444,,,,,,,case rate,,22087,,,,,,,case rate,,48249,,,,,,,case rate,,20801,48249,
Infectious & parasitic diseases including HIV w O.R. procedure,710,APR-DRG,,inpatient,,,11140,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11140,,,,,,,case rate,,15151,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,12811,,,,,,,case rate,,12254,,,,,,,case rate,,10806,,,,,,,case rate,,11140,,,,,,,case rate,,11140,,,,,,,case rate,,11475,,,,,,,case rate,,25066,,,,,,,case rate,,10806,25066,
Infectious & parasitic diseases including HIV w O.R. procedure,710,APR-DRG,,inpatient,,,17124,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17124,,,,,,,case rate,,23289,,,,,,,case rate,,17124,,,,,,,case rate,,17124,,,,,,,case rate,,17124,,,,,,,case rate,,19693,,,,,,,case rate,,18837,,,,,,,case rate,,16610,,,,,,,case rate,,17124,,,,,,,case rate,,17124,,,,,,,case rate,,17638,,,,,,,case rate,,38529,,,,,,,case rate,,16610,38529,
Infectious & parasitic diseases including HIV w O.R. procedure,710,APR-DRG,,inpatient,,,30583,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30583,,,,,,,case rate,,41593,,,,,,,case rate,,30583,,,,,,,case rate,,30583,,,,,,,case rate,,30583,,,,,,,case rate,,35171,,,,,,,case rate,,33642,,,,,,,case rate,,29666,,,,,,,case rate,,30583,,,,,,,case rate,,30583,,,,,,,case rate,,31501,,,,,,,case rate,,68812,,,,,,,case rate,,29666,68812,
Infectious & parasitic diseases including HIV w O.R. procedure,710,APR-DRG,,inpatient,,,64961,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64961,,,,,,,case rate,,88347,,,,,,,case rate,,64961,,,,,,,case rate,,64961,,,,,,,case rate,,64961,,,,,,,case rate,,74705,,,,,,,case rate,,71457,,,,,,,case rate,,63012,,,,,,,case rate,,64961,,,,,,,case rate,,64961,,,,,,,case rate,,66910,,,,,,,case rate,,146162,,,,,,,case rate,,63012,146162,
Inflammatory bowel disease,245,APR-DRG,,inpatient,,,6421,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6421,,,,,,,case rate,,8732,,,,,,,case rate,,6421,,,,,,,case rate,,6421,,,,,,,case rate,,6421,,,,,,,case rate,,7384,,,,,,,case rate,,7063,,,,,,,case rate,,6228,,,,,,,case rate,,6421,,,,,,,case rate,,6421,,,,,,,case rate,,6613,,,,,,,case rate,,14446,,,,,,,case rate,,6228,14446,
Inflammatory bowel disease,245,APR-DRG,,inpatient,,,7971,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7971,,,,,,,case rate,,10840,,,,,,,case rate,,7971,,,,,,,case rate,,7971,,,,,,,case rate,,7971,,,,,,,case rate,,9166,,,,,,,case rate,,8768,,,,,,,case rate,,7731,,,,,,,case rate,,7971,,,,,,,case rate,,7971,,,,,,,case rate,,8210,,,,,,,case rate,,17934,,,,,,,case rate,,7731,17934,
Inflammatory bowel disease,245,APR-DRG,,inpatient,,,12520,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12520,,,,,,,case rate,,17027,,,,,,,case rate,,12520,,,,,,,case rate,,12520,,,,,,,case rate,,12520,,,,,,,case rate,,14398,,,,,,,case rate,,13772,,,,,,,case rate,,12144,,,,,,,case rate,,12520,,,,,,,case rate,,12520,,,,,,,case rate,,12895,,,,,,,case rate,,28169,,,,,,,case rate,,12144,28169,
Inflammatory bowel disease,245,APR-DRG,,inpatient,,,22153,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22153,,,,,,,case rate,,30128,,,,,,,case rate,,22153,,,,,,,case rate,,22153,,,,,,,case rate,,22153,,,,,,,case rate,,25476,,,,,,,case rate,,24369,,,,,,,case rate,,21489,,,,,,,case rate,,22153,,,,,,,case rate,,22153,,,,,,,case rate,,22818,,,,,,,case rate,,49845,,,,,,,case rate,,21489,49845,
"Inguinal, femoral & umbilical hernia procedures",228,APR-DRG,,inpatient,,,7166,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7166,,,,,,,case rate,,9746,,,,,,,case rate,,7166,,,,,,,case rate,,7166,,,,,,,case rate,,7166,,,,,,,case rate,,8241,,,,,,,case rate,,7882,,,,,,,case rate,,6951,,,,,,,case rate,,7166,,,,,,,case rate,,7166,,,,,,,case rate,,7381,,,,,,,case rate,,16123,,,,,,,case rate,,6951,16123,
"Inguinal, femoral & umbilical hernia procedures",228,APR-DRG,,inpatient,,,9798,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9798,,,,,,,case rate,,13325,,,,,,,case rate,,9798,,,,,,,case rate,,9798,,,,,,,case rate,,9798,,,,,,,case rate,,11268,,,,,,,case rate,,10778,,,,,,,case rate,,9504,,,,,,,case rate,,9798,,,,,,,case rate,,9798,,,,,,,case rate,,10092,,,,,,,case rate,,22046,,,,,,,case rate,,9504,22046,
"Inguinal, femoral & umbilical hernia procedures",228,APR-DRG,,inpatient,,,16585,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16585,,,,,,,case rate,,22555,,,,,,,case rate,,16585,,,,,,,case rate,,16585,,,,,,,case rate,,16585,,,,,,,case rate,,19072,,,,,,,case rate,,18243,,,,,,,case rate,,16087,,,,,,,case rate,,16585,,,,,,,case rate,,16585,,,,,,,case rate,,17082,,,,,,,case rate,,37315,,,,,,,case rate,,16087,37315,
"Inguinal, femoral & umbilical hernia procedures",228,APR-DRG,,inpatient,,,45797,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,45797,,,,,,,case rate,,62284,,,,,,,case rate,,45797,,,,,,,case rate,,45797,,,,,,,case rate,,45797,,,,,,,case rate,,52666,,,,,,,case rate,,50376,,,,,,,case rate,,44423,,,,,,,case rate,,45797,,,,,,,case rate,,45797,,,,,,,case rate,,47171,,,,,,,case rate,,103043,,,,,,,case rate,,44423,103043,
Interstitial & alveolar lung diseases,142,APR-DRG,,inpatient,,,6856,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6856,,,,,,,case rate,,9325,,,,,,,case rate,,6856,,,,,,,case rate,,6856,,,,,,,case rate,,6856,,,,,,,case rate,,7885,,,,,,,case rate,,7542,,,,,,,case rate,,6651,,,,,,,case rate,,6856,,,,,,,case rate,,6856,,,,,,,case rate,,7062,,,,,,,case rate,,15427,,,,,,,case rate,,6651,15427,
Interstitial & alveolar lung diseases,142,APR-DRG,,inpatient,,,8830,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8830,,,,,,,case rate,,12009,,,,,,,case rate,,8830,,,,,,,case rate,,8830,,,,,,,case rate,,8830,,,,,,,case rate,,10154,,,,,,,case rate,,9713,,,,,,,case rate,,8565,,,,,,,case rate,,8830,,,,,,,case rate,,8830,,,,,,,case rate,,9095,,,,,,,case rate,,19867,,,,,,,case rate,,8565,19867,
Interstitial & alveolar lung diseases,142,APR-DRG,,inpatient,,,13678,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13678,,,,,,,case rate,,18602,,,,,,,case rate,,13678,,,,,,,case rate,,13678,,,,,,,case rate,,13678,,,,,,,case rate,,15730,,,,,,,case rate,,15046,,,,,,,case rate,,13268,,,,,,,case rate,,13678,,,,,,,case rate,,13678,,,,,,,case rate,,14088,,,,,,,case rate,,30775,,,,,,,case rate,,13268,30775,
Interstitial & alveolar lung diseases,142,APR-DRG,,inpatient,,,28589,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28589,,,,,,,case rate,,38881,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,32878,,,,,,,case rate,,31448,,,,,,,case rate,,27732,,,,,,,case rate,,28589,,,,,,,case rate,,28589,,,,,,,case rate,,29447,,,,,,,case rate,,64326,,,,,,,case rate,,27732,64326,
Intervertebral disc excision & decompression,310,APR-DRG,,inpatient,,,8859,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8859,,,,,,,case rate,,12048,,,,,,,case rate,,8859,,,,,,,case rate,,8859,,,,,,,case rate,,8859,,,,,,,case rate,,10187,,,,,,,case rate,,9744,,,,,,,case rate,,8593,,,,,,,case rate,,8859,,,,,,,case rate,,8859,,,,,,,case rate,,9124,,,,,,,case rate,,19932,,,,,,,case rate,,8593,19932,
Intervertebral disc excision & decompression,310,APR-DRG,,inpatient,,,12560,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12560,,,,,,,case rate,,17081,,,,,,,case rate,,12560,,,,,,,case rate,,12560,,,,,,,case rate,,12560,,,,,,,case rate,,14444,,,,,,,case rate,,13816,,,,,,,case rate,,12183,,,,,,,case rate,,12560,,,,,,,case rate,,12560,,,,,,,case rate,,12937,,,,,,,case rate,,28259,,,,,,,case rate,,12183,28259,
Intervertebral disc excision & decompression,310,APR-DRG,,inpatient,,,26158,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26158,,,,,,,case rate,,35574,,,,,,,case rate,,26158,,,,,,,case rate,,26158,,,,,,,case rate,,26158,,,,,,,case rate,,30081,,,,,,,case rate,,28773,,,,,,,case rate,,25373,,,,,,,case rate,,26158,,,,,,,case rate,,26158,,,,,,,case rate,,26942,,,,,,,case rate,,58854,,,,,,,case rate,,25373,58854,
Intervertebral disc excision & decompression,310,APR-DRG,,inpatient,,,70324,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,70324,,,,,,,case rate,,95641,,,,,,,case rate,,70324,,,,,,,case rate,,70324,,,,,,,case rate,,70324,,,,,,,case rate,,80873,,,,,,,case rate,,77357,,,,,,,case rate,,68214,,,,,,,case rate,,70324,,,,,,,case rate,,70324,,,,,,,case rate,,72434,,,,,,,case rate,,158229,,,,,,,case rate,,68214,158229,
Intestinal obstruction,247,APR-DRG,,inpatient,,,5041,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5041,,,,,,,case rate,,6856,,,,,,,case rate,,5041,,,,,,,case rate,,5041,,,,,,,case rate,,5041,,,,,,,case rate,,5798,,,,,,,case rate,,5545,,,,,,,case rate,,4890,,,,,,,case rate,,5041,,,,,,,case rate,,5041,,,,,,,case rate,,5193,,,,,,,case rate,,11343,,,,,,,case rate,,4890,11343,
Intestinal obstruction,247,APR-DRG,,inpatient,,,6917,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6917,,,,,,,case rate,,9407,,,,,,,case rate,,6917,,,,,,,case rate,,6917,,,,,,,case rate,,6917,,,,,,,case rate,,7955,,,,,,,case rate,,7609,,,,,,,case rate,,6710,,,,,,,case rate,,6917,,,,,,,case rate,,6917,,,,,,,case rate,,7125,,,,,,,case rate,,15563,,,,,,,case rate,,6710,15563,
Intestinal obstruction,247,APR-DRG,,inpatient,,,12378,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12378,,,,,,,case rate,,16834,,,,,,,case rate,,12378,,,,,,,case rate,,12378,,,,,,,case rate,,12378,,,,,,,case rate,,14234,,,,,,,case rate,,13616,,,,,,,case rate,,12006,,,,,,,case rate,,12378,,,,,,,case rate,,12378,,,,,,,case rate,,12749,,,,,,,case rate,,27850,,,,,,,case rate,,12006,27850,
Intestinal obstruction,247,APR-DRG,,inpatient,,,26267,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26267,,,,,,,case rate,,35724,,,,,,,case rate,,26267,,,,,,,case rate,,26267,,,,,,,case rate,,26267,,,,,,,case rate,,30208,,,,,,,case rate,,28894,,,,,,,case rate,,25479,,,,,,,case rate,,26267,,,,,,,case rate,,26267,,,,,,,case rate,,27056,,,,,,,case rate,,59102,,,,,,,case rate,,25479,59102,
Intracranial hemorrhage,44,APR-DRG,,inpatient,,,10279,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10279,,,,,,,case rate,,13979,,,,,,,case rate,,10279,,,,,,,case rate,,10279,,,,,,,case rate,,10279,,,,,,,case rate,,11821,,,,,,,case rate,,11307,,,,,,,case rate,,9971,,,,,,,case rate,,10279,,,,,,,case rate,,10279,,,,,,,case rate,,10587,,,,,,,case rate,,23128,,,,,,,case rate,,9971,23128,
Intracranial hemorrhage,44,APR-DRG,,inpatient,,,15038,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15038,,,,,,,case rate,,20451,,,,,,,case rate,,15038,,,,,,,case rate,,15038,,,,,,,case rate,,15038,,,,,,,case rate,,17293,,,,,,,case rate,,16542,,,,,,,case rate,,14587,,,,,,,case rate,,15038,,,,,,,case rate,,15038,,,,,,,case rate,,15489,,,,,,,case rate,,33835,,,,,,,case rate,,14587,33835,
Intracranial hemorrhage,44,APR-DRG,,inpatient,,,21743,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21743,,,,,,,case rate,,29571,,,,,,,case rate,,21743,,,,,,,case rate,,21743,,,,,,,case rate,,21743,,,,,,,case rate,,25005,,,,,,,case rate,,23917,,,,,,,case rate,,21091,,,,,,,case rate,,21743,,,,,,,case rate,,21743,,,,,,,case rate,,22395,,,,,,,case rate,,48922,,,,,,,case rate,,21091,48922,
Intracranial hemorrhage,44,APR-DRG,,inpatient,,,28559,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28559,,,,,,,case rate,,38841,,,,,,,case rate,,28559,,,,,,,case rate,,28559,,,,,,,case rate,,28559,,,,,,,case rate,,32843,,,,,,,case rate,,31415,,,,,,,case rate,,27703,,,,,,,case rate,,28559,,,,,,,case rate,,28559,,,,,,,case rate,,29416,,,,,,,case rate,,64259,,,,,,,case rate,,27703,64259,
J0131 - ACETAMINOPHEN 10MG(1000MG),J0131,CPT,,both,10,ME,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,7,
J0132 - ACETYLCYSTINE IV 100MG (200MG),J0132,CPT,,both,100,ME,2,2,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
J0133 - ACYCLOVIR INJ 500MG 50MG/ML,J0133,CPT,,both,500,ML,87605,87605,,74462,,,,,,,case rate,,89595,,,,,,,case rate,,72334,,,,,,,case rate,,72334,,,,,,,case rate,,103687,,,,,,,case rate,,103687,,,,,,,case rate,,77392,,,,,,,case rate,,50334,,,,,,,case rate,,  ,,,,,,,case rate,,64447,,,,,,,case rate,,64447,,,,,,,case rate,,64447,,,,,,,case rate,,65736,,,,,,,case rate,,64447,,,,,,,case rate,,64447,,,,,,,case rate,,64447,,,,,,,case rate,,59935,,,,,,,case rate,,64447,,,,,,,case rate,,64447,,,,,,,case rate,,64447,,,,,,,case rate,,64447,,,,,,,case rate,,65736,,,,,,,case rate,,68958,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,50334,103687,
J0153 - ADENOSINE 1MG (6MG) INJ,J0153,CPT,,both,1,ME,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J0171 - EPINEPHRINE AMP 0.1MG (1MG/ML),J0171,CPT,,both,1,UN,2,2,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J0248 - REMDESIVIR INJ 5MG/ML (100MG),J0248,CPT,,both,5,ME,42154,42154,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,32794,,,,,,,fee schedule,,32794,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,21200,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,19329,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,20784,,,,,,,fee schedule,,21200,,,,,,,fee schedule,,22239,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19329,32794,
J0278 - AMIKACIN INJ 500 MG,J0278,CPT,,both,500,UN,5,5,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
J0282 - AMIODARONE 150MG 50MG/ML 3ML,J0282,CPT,,both,150,ML,97444,97444,,109405,,,,,,,case rate,,131639,,,,,,,case rate,,106277,,,,,,,case rate,,106277,,,,,,,case rate,,152343,,,,,,,case rate,,152343,,,,,,,case rate,,113709,,,,,,,case rate,,73953,,,,,,,case rate,,  ,,,,,,,case rate,,94051,,,,,,,case rate,,94051,,,,,,,case rate,,94051,,,,,,,case rate,,95932,,,,,,,case rate,,94051,,,,,,,case rate,,94051,,,,,,,case rate,,94051,,,,,,,case rate,,87467,,,,,,,case rate,,94051,,,,,,,case rate,,94051,,,,,,,case rate,,94051,,,,,,,case rate,,94051,,,,,,,case rate,,95932,,,,,,,case rate,,100634,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,73953,152343,
J0290 - AMPICILLIN INJ 500MG,J0290,CPT,,both,500,GR,6,6,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J0295 - AMPICILL/SUBACTAM IN3GM,J0295,CPT,,both,3,ME,110,110,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J0330 - SUCCINYLCHO I 20MG/ML 10ML,J0330,CPT,,both,20,ML,108848,108848,,96075,,,,,,,case rate,,115600,,,,,,,case rate,,93329,,,,,,,case rate,,93329,,,,,,,case rate,,133782,,,,,,,case rate,,133782,,,,,,,case rate,,99855,,,,,,,case rate,,64943,,,,,,,case rate,,  ,,,,,,,case rate,,82757,,,,,,,case rate,,82757,,,,,,,case rate,,82757,,,,,,,case rate,,84413,,,,,,,case rate,,82757,,,,,,,case rate,,82757,,,,,,,case rate,,82757,,,,,,,case rate,,76964,,,,,,,case rate,,82757,,,,,,,case rate,,82757,,,,,,,case rate,,82757,,,,,,,case rate,,82757,,,,,,,case rate,,84413,,,,,,,case rate,,88550,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64943,133782,
J0360 - HYDRALAZINE INJ 20MG,J0360,CPT,,both,20,ME,21,21,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
J0456 - AZITHROMYCIN 500MG (50MG/25ML),J0456,CPT,,both,500,ME,19,19,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,5,
J0461 - ATROP SULF SYR 0.1MG/ML 10ML,J0461,CPT,,both,0.1,ML,106419,106419,,75505,,,,,,,case rate,,90850,,,,,,,case rate,,73347,,,,,,,case rate,,73347,,,,,,,case rate,,105139,,,,,,,case rate,,105139,,,,,,,case rate,,78476,,,,,,,case rate,,51039,,,,,,,case rate,,  ,,,,,,,case rate,,65330,,,,,,,case rate,,65330,,,,,,,case rate,,65330,,,,,,,case rate,,66637,,,,,,,case rate,,65330,,,,,,,case rate,,65330,,,,,,,case rate,,65330,,,,,,,case rate,,60757,,,,,,,case rate,,65330,,,,,,,case rate,,65330,,,,,,,case rate,,65330,,,,,,,case rate,,65330,,,,,,,case rate,,66637,,,,,,,case rate,,69904,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51039,105139,
J0485 - BELATACEPT INJ 1MG (250MG),J0485,CPT,,both,1,GR,41216,41216,,874,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,26012,,,,,,,fee schedule,,26012,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16816,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,15332,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16486,,,,,,,fee schedule,,16816,,,,,,,fee schedule,,17640,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,874,26012,
J0490 - BELIMUMAB INJ 10 MG(400MG),J0490,CPT,,both,10,GR,21074,21074,,11836,,,,,,,case rate,,14241,,,,,,,case rate,,11498,,,,,,,case rate,,11498,,,,,,,case rate,,16481,,,,,,,case rate,,16481,,,,,,,case rate,,12302,,,,,,,case rate,,8001,,,,,,,case rate,,  ,,,,,,,case rate,,11389,,,,,,,case rate,,11389,,,,,,,case rate,,11389,,,,,,,case rate,,11616,,,,,,,case rate,,11389,,,,,,,case rate,,11389,,,,,,,case rate,,11389,,,,,,,case rate,,10591,,,,,,,case rate,,11389,,,,,,,case rate,,11389,,,,,,,case rate,,11389,,,,,,,case rate,,11389,,,,,,,case rate,,11616,,,,,,,case rate,,12186,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8001,16481,
J0515 - BENZTROPINE INJ 1MG/ML,J0515,CPT,,both,1,ML,216,216,,31,,,,,,,fee schedule,,27,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,27,132,
J0561 - PEN G BENZ 100K U (2.4MU/4ML),J0561,CPT,,both,100,ML,164,164,,29,,,,,,,fee schedule,,23,,,,,,,fee schedule,,76,,,,,,,fee schedule,,76,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,126,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,45,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,48,,,,,,,fee schedule,,49,,,,,,,fee schedule,,51,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,111,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,101,,,,,,,fee schedule,,104,,,,,,,fee schedule,,227,,,,,,,fee schedule,,7,227,
J0572 - BUPRENOPHRINE+NAL 2+0.5MG TAB,J0572,CPT,,both,5,ME,47,47,,  ,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,6,
J0585 - BOTULINUM TOXIN TYPA 1U(100 U),J0585,CPT,,both,100,UN,98379,98379,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,44616,,,,,,,fee schedule,,44616,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,44616,44616,
J0587 - BOTULINUM TOXIN PER UNIT,J0587,CPT,,both,1,ME,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J0595 - BUTORPHANOL INJ 2MG/ML 1ML,J0595,CPT,,both,2,ML,6,6,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
J0630 - CALCITONIN INJ 200U/ML 2ML,J0630,CPT,,both,200,ML,26876,26876,,26264,,,,,,,case rate,,31601,,,,,,,case rate,,25513,,,,,,,case rate,,25513,,,,,,,case rate,,36572,,,,,,,case rate,,36572,,,,,,,case rate,,27297,,,,,,,case rate,,17753,,,,,,,case rate,,  ,,,,,,,case rate,,23612,,,,,,,case rate,,23612,,,,,,,case rate,,23612,,,,,,,case rate,,24084,,,,,,,case rate,,23612,,,,,,,case rate,,23612,,,,,,,case rate,,23612,,,,,,,case rate,,21959,,,,,,,case rate,,23612,,,,,,,case rate,,23612,,,,,,,case rate,,23612,,,,,,,case rate,,23612,,,,,,,case rate,,24084,,,,,,,case rate,,25265,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17753,36572,
J0636 - CALCITRIOL INJ 1MCG/ML 1ML,J0636,CPT,,both,1,ML,22,22,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,98,,,,,,,fee schedule,,98,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,98,
J0640 - LEUCOVORIN CA INJ 50MG (350MG),J0640,CPT,,both,50,GR,66,66,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,122,
J0690 - CEFAZOLIN SOD IN 1GM 10ML VL,J0690,CPT,,both,1,ML,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,416,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,366,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,333,,,,,,,fee schedule,,343,,,,,,,fee schedule,,749,,,,,,,fee schedule,,1,749,
J0692 - CEFEPIME INJ 2 GRAM,J0692,CPT,,both,2,GM,3,3,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
J0696 - CEFTRIAXONE INJ 250MG,J0696,CPT,,both,250,ME,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J0712 - CEFTAROLINE 10MG (400MG VL),J0712,CPT,,both,400,GR,12808,12808,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,28060,,,,,,,fee schedule,,28060,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,28060,28060,
J0713 - CEFTAZIDIME INJ 500MG (1GM),J0713,CPT,,both,500,ME,2,2,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
"J0741 - INJ, CABOTE RILPIVIR 2MG 3MG",J0741,CPT,,both,2,GR,13904,13904,,9764,,,,,,,case rate,,11748,,,,,,,case rate,,9485,,,,,,,case rate,,9485,,,,,,,case rate,,13596,,,,,,,case rate,,13596,,,,,,,case rate,,10148,,,,,,,case rate,,6600,,,,,,,case rate,,  ,,,,,,,case rate,,9633,,,,,,,case rate,,9633,,,,,,,case rate,,9633,,,,,,,case rate,,9826,,,,,,,case rate,,9633,,,,,,,case rate,,9633,,,,,,,case rate,,9633,,,,,,,case rate,,8959,,,,,,,case rate,,9633,,,,,,,case rate,,9633,,,,,,,case rate,,9633,,,,,,,case rate,,9633,,,,,,,case rate,,9826,,,,,,,case rate,,10308,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6600,13596,
J0744 - CIPROFLOXACIN INJ 400MG/250ML,J0744,CPT,,both,400,ME,6,6,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,5,
J0780 - PROCHLORPERA INJ 10MG,J0780,CPT,,both,10,GR,66,66,,5,,,,,,,fee schedule,,17,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,37,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,1,66,
J0791 - CRIZANLIZUMAB INJ 100MG/10ML,J0791,CPT,,both,100,GR,14842,14842,,15454,,,,,,,case rate,,18594,,,,,,,case rate,,15012,,,,,,,case rate,,15012,,,,,,,case rate,,21519,,,,,,,case rate,,21519,,,,,,,case rate,,16062,,,,,,,case rate,,10446,,,,,,,case rate,,  ,,,,,,,case rate,,14453,,,,,,,case rate,,14453,,,,,,,case rate,,14453,,,,,,,case rate,,14742,,,,,,,case rate,,14453,,,,,,,case rate,,14453,,,,,,,case rate,,14453,,,,,,,case rate,,13442,,,,,,,case rate,,14453,,,,,,,case rate,,14453,,,,,,,case rate,,14453,,,,,,,case rate,,14453,,,,,,,case rate,,14742,,,,,,,case rate,,15465,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10446,21519,
J0834 - COSYNTROPIN INJ 0.25MG,J0834,CPT,,both,0.3,GR,430,430,,28,,,,,,,fee schedule,,56,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,40,,,,,,,fee schedule,,40,,,,,,,fee schedule,,196,,,,,,,fee schedule,,111,,,,,,,fee schedule,,100,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,173,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,157,,,,,,,fee schedule,,162,,,,,,,fee schedule,,353,,,,,,,fee schedule,,28,424,
J0881 - DARBEPOETIN ALFA NON-ESRD 1 MI,J0881,CPT,,both,1,UN,28679,28679,,377,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,18100,,,,,,,fee schedule,,18100,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11701,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,10669,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11472,,,,,,,fee schedule,,11701,,,,,,,fee schedule,,12275,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,327,18100,
J0882 - DARBEPOETIN ALFA ESRD USE 1 MI,J0882,CPT,,both,1,UN,31308,31308,,1851,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,19759,,,,,,,fee schedule,,19759,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12773,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,11646,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12523,,,,,,,fee schedule,,12773,,,,,,,fee schedule,,13400,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1851,19759,
J0885 - EPOGEN 20000 UNITS,J0885,CPT,,both,20000,UN,425,425,,31,,,,,,,fee schedule,,22,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,22,162,
J0897 - DENOSUMAB INJ 1MG(120MG/1.7ML),J0897,CPT,,both,1,ML,10665,10665,,9946,,,,,,,case rate,,11968,,,,,,,case rate,,9662,,,,,,,case rate,,9662,,,,,,,case rate,,13850,,,,,,,case rate,,13850,,,,,,,case rate,,10338,,,,,,,case rate,,6723,,,,,,,case rate,,  ,,,,,,,case rate,,9788,,,,,,,case rate,,9788,,,,,,,case rate,,9788,,,,,,,case rate,,9983,,,,,,,case rate,,9788,,,,,,,case rate,,9788,,,,,,,case rate,,9788,,,,,,,case rate,,9102,,,,,,,case rate,,9788,,,,,,,case rate,,9788,,,,,,,case rate,,9788,,,,,,,case rate,,9788,,,,,,,case rate,,9983,,,,,,,case rate,,10473,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6723,13850,
J1030 - METHYLPRED ACET 40MG/ML,J1030,CPT,,both,40,GR,8,8,,4,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
J1050 - MEDROXYPROGEST 150 MG/1ML VIAL,J1050,CPT,,both,150,ML,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J1071 - TESTOSTERONE CYP 200MG/ML,J1071,CPT,,both,200,GR,975,975,,1050,,,,,,,case rate,,1027,,,,,,,case rate,,114,,,,,,,case rate,,114,,,,,,,case rate,,1085,,,,,,,case rate,,1085,,,,,,,case rate,,219,,,,,,,case rate,,657,,,,,,,case rate,,666,,,,,,,case rate,,72,,,,,,,case rate,,72,,,,,,,case rate,,72,,,,,,,case rate,,74,,,,,,,case rate,,72,,,,,,,case rate,,72,,,,,,,case rate,,72,,,,,,,case rate,,67,,,,,,,case rate,,72,,,,,,,case rate,,72,,,,,,,case rate,,72,,,,,,,case rate,,72,,,,,,,case rate,,74,,,,,,,case rate,,77,,,,,,,case rate,,176,,,,,,,case rate,,176,,,,,,,case rate,,176,,,,,,,case rate,,176,,,,,,,case rate,,176,,,,,,,case rate,,176,,,,,,,case rate,,193,,,,,,,case rate,,176,,,,,,,case rate,,176,,,,,,,case rate,,176,,,,,,,case rate,,181,,,,,,,case rate,,395,,,,,,,case rate,,67,1085,
J1100 - DEXAMETHASONE 1MG(4MG/ML) INJ,J1100,CPT,,both,4,GR,12210,12210,,87949,,,,,,,case rate,,105823,,,,,,,case rate,,85435,,,,,,,case rate,,85435,,,,,,,case rate,,122467,,,,,,,case rate,,122467,,,,,,,case rate,,91409,,,,,,,case rate,,59450,,,,,,,case rate,,  ,,,,,,,case rate,,75873,,,,,,,case rate,,75873,,,,,,,case rate,,75873,,,,,,,case rate,,77391,,,,,,,case rate,,75873,,,,,,,case rate,,75873,,,,,,,case rate,,75873,,,,,,,case rate,,70562,,,,,,,case rate,,75873,,,,,,,case rate,,75873,,,,,,,case rate,,75873,,,,,,,case rate,,75873,,,,,,,case rate,,77391,,,,,,,case rate,,81184,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,59450,122467,
J1120 - ACETAZOLAMIDE INJ 500MG,J1120,CPT,,both,500,GR,51,51,,8,,,,,,,fee schedule,,26,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,7,,,,,,,fee schedule,,7,,,,,,,fee schedule,,41,,,,,,,fee schedule,,20,,,,,,,fee schedule,,20,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,7,74,
J1170 - HYDROMORPHONE INJ 4MG (2MG/ML),J1170,CPT,,both,4,ME,6,6,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,423,,,,,,,fee schedule,,423,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,423,
J1200 - DIPHENHYDRAMINE INJ 50MG,J1200,CPT,,both,50,ME,7,7,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J1245 - DIPYRIDAMOLE INJ 10MG (50MG),J1245,CPT,,both,50,ME,25,25,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J1250 - DOBUTAMINE HCL 250MG/250ML D5W,J1250,CPT,,both,250,GR,33,33,,3,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,46,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,2,83,
J1265 - DOPAMINE BAG 40MG(400MG/250ML),J1265,CPT,,both,40,ME,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J1270 - DOXERCALCIFEROL 1MCG (4MCG),J1270,CPT,,both,1,ME,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,28,,,,,,,fee schedule,,28,,,,,,,fee schedule,,156,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,138,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,129,,,,,,,fee schedule,,281,,,,,,,fee schedule,,1,281,
J1335 - ERTAPENEM 500MG (1GM),J1335,CPT,,both,1,GM,3202,3202,,228,,,,,,,fee schedule,,103,,,,,,,fee schedule,,764,,,,,,,fee schedule,,764,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,961,,,,,,,fee schedule,,634,,,,,,,fee schedule,,634,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,450,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,484,,,,,,,fee schedule,,494,,,,,,,fee schedule,,518,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,103,961,
J1442 - FILGRASTIM (1MCG)300MCG(CHEMO),J1442,CPT,,both,300,ME,25470,25470,,346,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,346,16075,
J1450 - FLUCONAZOLE BG 200MG/100ML,J1450,CPT,,both,200,ME,29,29,,  ,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J1562 - IMMUNE GLOBULIN 10 GM/100 ML,J1562,CPT,,both,10,ML,139,139,,3,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,80,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,3,145,
J1573 - HEPATITIS B IG SYR 110U/0.5ML,J1573,CPT,,both,110,ML,11708,11708,,12224,,,,,,,case rate,,14708,,,,,,,case rate,,11875,,,,,,,case rate,,11875,,,,,,,case rate,,17022,,,,,,,case rate,,17022,,,,,,,case rate,,12705,,,,,,,case rate,,8263,,,,,,,case rate,,  ,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,11952,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,10897,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,11952,,,,,,,case rate,,12537,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8263,17022,
J1580 - GENTAMICIN 80MG (80MG),J1580,CPT,,both,80,ME,8,8,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J1610 - GLUCAGON INJ 1MG,J1610,CPT,,both,1,ME,13756,13756,,16676,,,,,,,case rate,,20065,,,,,,,case rate,,16199,,,,,,,case rate,,16199,,,,,,,case rate,,23220,,,,,,,case rate,,23220,,,,,,,case rate,,17332,,,,,,,case rate,,11272,,,,,,,case rate,,  ,,,,,,,case rate,,15489,,,,,,,case rate,,15489,,,,,,,case rate,,15489,,,,,,,case rate,,15799,,,,,,,case rate,,15489,,,,,,,case rate,,15489,,,,,,,case rate,,15489,,,,,,,case rate,,14405,,,,,,,case rate,,15489,,,,,,,case rate,,15489,,,,,,,case rate,,15489,,,,,,,case rate,,15489,,,,,,,case rate,,15799,,,,,,,case rate,,16573,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11272,23220,
J1630 - HALOPERIDOL INJ 5MG/ML,J1630,CPT,,both,5,ME,2,2,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,11,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,11,
J1642 - HEPARIN FLUSH 10U/ML 5ML,J1642,CPT,,both,10,ML,127925,127925,,107674,,,,,,,case rate,,129556,,,,,,,case rate,,104596,,,,,,,case rate,,104596,,,,,,,case rate,,149933,,,,,,,case rate,,149933,,,,,,,case rate,,111910,,,,,,,case rate,,72783,,,,,,,case rate,,  ,,,,,,,case rate,,92584,,,,,,,case rate,,92584,,,,,,,case rate,,92584,,,,,,,case rate,,94436,,,,,,,case rate,,92584,,,,,,,case rate,,92584,,,,,,,case rate,,92584,,,,,,,case rate,,86103,,,,,,,case rate,,92584,,,,,,,case rate,,92584,,,,,,,case rate,,92584,,,,,,,case rate,,92584,,,,,,,case rate,,94436,,,,,,,case rate,,99065,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,72783,149933,
"J1644 - HEPARIN 1000U (20,000U/ML)",J1644,CPT,,both,1000,ML,87205,87205,,108511,,,,,,,case rate,,130564,,,,,,,case rate,,105409,,,,,,,case rate,,105409,,,,,,,case rate,,151099,,,,,,,case rate,,151099,,,,,,,case rate,,112780,,,,,,,case rate,,73349,,,,,,,case rate,,  ,,,,,,,case rate,,93293,,,,,,,case rate,,93293,,,,,,,case rate,,93293,,,,,,,case rate,,95159,,,,,,,case rate,,93293,,,,,,,case rate,,93293,,,,,,,case rate,,93293,,,,,,,case rate,,86763,,,,,,,case rate,,93293,,,,,,,case rate,,93293,,,,,,,case rate,,93293,,,,,,,case rate,,93293,,,,,,,case rate,,95159,,,,,,,case rate,,99824,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,73349,151099,
J1650 - ENOXAPARIN 10MG (30MG/0.3ML),J1650,CPT,,both,10,GR,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,9,
J1652 - FONDAPARINUX SY 2.5MG/.5ML,J1652,CPT,,both,2.5,ML,5,5,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2142,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,2,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1885,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1713,,,,,,,fee schedule,,1765,,,,,,,fee schedule,,3855,,,,,,,fee schedule,,1,3855,
J1670 - TETANUS IMM GLOB INJ 250U,J1670,CPT,,both,1,UN,55331,55331,,23366,,,,,,,case rate,,28114,,,,,,,case rate,,22698,,,,,,,case rate,,22698,,,,,,,case rate,,32536,,,,,,,case rate,,32536,,,,,,,case rate,,24285,,,,,,,case rate,,15794,,,,,,,case rate,,  ,,,,,,,case rate,,21157,,,,,,,case rate,,21157,,,,,,,case rate,,21157,,,,,,,case rate,,21580,,,,,,,case rate,,21157,,,,,,,case rate,,21157,,,,,,,case rate,,21157,,,,,,,case rate,,19676,,,,,,,case rate,,21157,,,,,,,case rate,,21157,,,,,,,case rate,,21157,,,,,,,case rate,,21157,,,,,,,case rate,,21580,,,,,,,case rate,,22638,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15794,32536,
J1720 - HYDROCORTISONE INJ 100MG,J1720,CPT,,both,100,ME,312,312,,8,,,,,,,fee schedule,,22,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,17,,,,,,,fee schedule,,17,,,,,,,fee schedule,,217,,,,,,,fee schedule,,555,,,,,,,fee schedule,,500,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,191,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,173,,,,,,,fee schedule,,179,,,,,,,fee schedule,,390,,,,,,,fee schedule,,8,841,
J1726 - HYDROXYPROGSTRN 10MG(1250MG),J1726,CPT,,both,10,ML,39,39,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J1741 - IBUPROFEN 100MG (800MG/8ML),J1741,CPT,,both,100,ME,6,6,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,3,
J1742 - IBUTILIDE INJ 0.1MG/ML 10ML,J1742,CPT,,both,0.1,ML,20633,20633,,18427,,,,,,,case rate,,22172,,,,,,,case rate,,17900,,,,,,,case rate,,17900,,,,,,,case rate,,25659,,,,,,,case rate,,25659,,,,,,,case rate,,19152,,,,,,,case rate,,12456,,,,,,,case rate,,  ,,,,,,,case rate,,16973,,,,,,,case rate,,16973,,,,,,,case rate,,16973,,,,,,,case rate,,17312,,,,,,,case rate,,16973,,,,,,,case rate,,16973,,,,,,,case rate,,16973,,,,,,,case rate,,15785,,,,,,,case rate,,16973,,,,,,,case rate,,16973,,,,,,,case rate,,16973,,,,,,,case rate,,16973,,,,,,,case rate,,17312,,,,,,,case rate,,18161,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12456,25659,
J1745 - INFLIXIMAB INJ 10MG (100MG),J1745,CPT,,both,10,ME,10852,10852,,10872,,,,,,,case rate,,13081,,,,,,,case rate,,10561,,,,,,,case rate,,10561,,,,,,,case rate,,15138,,,,,,,case rate,,15138,,,,,,,case rate,,11299,,,,,,,case rate,,7349,,,,,,,case rate,,  ,,,,,,,case rate,,10571,,,,,,,case rate,,10571,,,,,,,case rate,,10571,,,,,,,case rate,,10783,,,,,,,case rate,,10571,,,,,,,case rate,,10571,,,,,,,case rate,,10571,,,,,,,case rate,,9831,,,,,,,case rate,,10571,,,,,,,case rate,,10571,,,,,,,case rate,,10571,,,,,,,case rate,,10571,,,,,,,case rate,,10783,,,,,,,case rate,,11311,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7349,15138,
J1756 - IRON SUCROSE 1MG (100MG/5ML),J1756,CPT,,both,1,ME,1079,1079,,1050,,,,,,,case rate,,1027,,,,,,,case rate,,578,,,,,,,case rate,,578,,,,,,,case rate,,1085,,,,,,,case rate,,1085,,,,,,,case rate,,248,,,,,,,case rate,,657,,,,,,,case rate,,666,,,,,,,case rate,,366,,,,,,,case rate,,366,,,,,,,case rate,,366,,,,,,,case rate,,374,,,,,,,case rate,,366,,,,,,,case rate,,366,,,,,,,case rate,,366,,,,,,,case rate,,341,,,,,,,case rate,,366,,,,,,,case rate,,366,,,,,,,case rate,,366,,,,,,,case rate,,366,,,,,,,case rate,,374,,,,,,,case rate,,392,,,,,,,case rate,,198,,,,,,,case rate,,198,,,,,,,case rate,,198,,,,,,,case rate,,198,,,,,,,case rate,,198,,,,,,,case rate,,198,,,,,,,case rate,,218,,,,,,,case rate,,198,,,,,,,case rate,,198,,,,,,,case rate,,198,,,,,,,case rate,,204,,,,,,,case rate,,446,,,,,,,case rate,,198,1085,
J1800 - PROPRANOLOL INJ 1MG,J1800,CPT,,both,1,GR,9,9,,  ,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,7,
J1815 - INSULIN ASPART 1 UNIT/0.01 ML,J1815,CPT,,both,1,ML,3,3,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,3,
J1817 - INSULIN REG 100 UNIT/100 ML NS,J1817,CPT,,both,100,UN,223,223,,25,,,,,,,fee schedule,,19,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,70,,,,,,,fee schedule,,88,,,,,,,fee schedule,,88,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,4,132,
J1885 - KETORALAC INJ 15MG (30MG/ML),J1885,CPT,,both,15,ME,40,40,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J1940 - FUROSEMIDE INJ 40MG,J1940,CPT,,both,40,ME,13,13,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,24,
J1950 - LUPRON DEPOT INJ PER 3.75 MG,J1950,CPT,,both,3.8,ME,2947,2947,,  ,,,,,,,fee schedule,,2035,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,1115,,,,,,,fee schedule,,1115,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1245,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1136,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1221,,,,,,,fee schedule,,1245,,,,,,,fee schedule,,1307,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2035,
J1953 - LEVETIRACETAM INJ 10MG/ML SYR,J1953,CPT,,both,10,ML,218790,218790,,230908,,,,,,,case rate,,277835,,,,,,,case rate,,224307,,,,,,,case rate,,224307,,,,,,,case rate,,321533,,,,,,,case rate,,321533,,,,,,,case rate,,239992,,,,,,,case rate,,156085,,,,,,,case rate,,  ,,,,,,,case rate,,196990,,,,,,,case rate,,196990,,,,,,,case rate,,196990,,,,,,,case rate,,200930,,,,,,,case rate,,196990,,,,,,,case rate,,196990,,,,,,,case rate,,196990,,,,,,,case rate,,183201,,,,,,,case rate,,196990,,,,,,,case rate,,196990,,,,,,,case rate,,196990,,,,,,,case rate,,196990,,,,,,,case rate,,200930,,,,,,,case rate,,210780,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,156085,321533,
J1956 - LEVOFLOXACIN 500MG/100ML D5 BG,J1956,CPT,,both,500,ME,3,3,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
J2001 - LIDOCAINE INJ 1% PER 10 MG,J2001,CPT,,both,10,ME,57534,57534,,71173,,,,,,,case rate,,85637,,,,,,,case rate,,69139,,,,,,,case rate,,69139,,,,,,,case rate,,99107,,,,,,,case rate,,99107,,,,,,,case rate,,73973,,,,,,,case rate,,48110,,,,,,,case rate,,  ,,,,,,,case rate,,61660,,,,,,,case rate,,61660,,,,,,,case rate,,61660,,,,,,,case rate,,62893,,,,,,,case rate,,61660,,,,,,,case rate,,61660,,,,,,,case rate,,61660,,,,,,,case rate,,57344,,,,,,,case rate,,61660,,,,,,,case rate,,61660,,,,,,,case rate,,61660,,,,,,,case rate,,61660,,,,,,,case rate,,62893,,,,,,,case rate,,65976,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,48110,99107,
J2060 - LORAZEPAM INJ 2MG,J2060,CPT,,both,2,ME,44,44,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J2150 - MANNITOL INJ 12.5 GM,J2150,CPT,,both,12.5,ME,25,25,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,10,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,10,
J2185 - MEROPENUM INJ 1 GM,J2185,CPT,,both,1,ME,2,2,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J2210 - METHYLERGONO I 200MCG,J2210,CPT,,both,1.2,ME,378,378,,28,,,,,,,fee schedule,,25,,,,,,,fee schedule,,162,,,,,,,fee schedule,,162,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,137,,,,,,,fee schedule,,137,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,95,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,103,,,,,,,fee schedule,,105,,,,,,,fee schedule,,110,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,25,162,
J2212 - METHYLNALTREXO 0.1MG(12/0.6ML),J2212,CPT,,both,0.1,ME,5,5,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J2250 - MIDAZOLAM INJ 2MG/2ML,J2250,CPT,,both,2,ME,131887,131887,,94250,,,,,,,case rate,,113404,,,,,,,case rate,,91556,,,,,,,case rate,,91556,,,,,,,case rate,,131240,,,,,,,case rate,,131240,,,,,,,case rate,,97958,,,,,,,case rate,,63709,,,,,,,case rate,,  ,,,,,,,case rate,,81211,,,,,,,case rate,,81211,,,,,,,case rate,,81211,,,,,,,case rate,,82835,,,,,,,case rate,,81211,,,,,,,case rate,,81211,,,,,,,case rate,,81211,,,,,,,case rate,,75526,,,,,,,case rate,,81211,,,,,,,case rate,,81211,,,,,,,case rate,,81211,,,,,,,case rate,,81211,,,,,,,case rate,,82835,,,,,,,case rate,,86896,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,63709,131240,
J2270 - MORPHINE INJ 10MG(10MG/ML),J2270,CPT,,both,10,ME,5,5,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J2274 - MORPHINE 10MG(0.5MG/ML) 10ML,J2274,CPT,,both,10,ME,212,212,,23,,,,,,,fee schedule,,19,,,,,,,fee schedule,,132,,,,,,,fee schedule,,132,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,70,,,,,,,fee schedule,,88,,,,,,,fee schedule,,88,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,78,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,85,,,,,,,fee schedule,,89,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,127,,,,,,,fee schedule,,19,132,
J2310 - NALOXONE INJ 0.4MG/ML,J2310,CPT,,both,0.4,ME,32,32,,6,,,,,,,fee schedule,,40,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,16,,,,,,,fee schedule,,16,,,,,,,fee schedule,,63,,,,,,,fee schedule,,31,,,,,,,fee schedule,,31,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,56,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,51,,,,,,,fee schedule,,52,,,,,,,fee schedule,,114,,,,,,,fee schedule,,6,114,
J2354 - OCTREOTIDE INJ 0.05MG/ML,J2354,CPT,,both,0.1,ME,159,159,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J2358 - OLANZAPINE INJ 10MG,J2358,CPT,,both,10,ME,49,49,,2,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,42,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,2,76,
J2405 - ONDANSETRON 1MG (4MG),J2405,CPT,,both,1,ME,6,6,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J2426 - PALIPERIDONE 1MG (156MG/1ML),J2426,CPT,,both,1,ME,13,13,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,1,
J2440 - PAPAVERINE INJ 30MG/ML 2ML,J2440,CPT,,both,30,ME,7,7,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
J2501 - PARICALCITOL 1MCG (2MCG),J2501,CPT,,both,1,ME,5,5,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J2506 - PEGFILGRASTIM (0.5MG) 6 MG INJ,J2506,CPT,,both,6,ME,11947,11947,,12590,,,,,,,case rate,,15149,,,,,,,case rate,,12230,,,,,,,case rate,,12230,,,,,,,case rate,,17531,,,,,,,case rate,,17531,,,,,,,case rate,,13085,,,,,,,case rate,,8510,,,,,,,case rate,,  ,,,,,,,case rate,,12027,,,,,,,case rate,,12027,,,,,,,case rate,,12027,,,,,,,case rate,,12268,,,,,,,case rate,,12027,,,,,,,case rate,,12027,,,,,,,case rate,,12027,,,,,,,case rate,,11185,,,,,,,case rate,,12027,,,,,,,case rate,,12027,,,,,,,case rate,,12027,,,,,,,case rate,,12027,,,,,,,case rate,,12268,,,,,,,case rate,,12869,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8510,17531,
J2543 - PIPRACIL/TAZO 1000MG (2.25GM),J2543,CPT,,both,2.3,ME,6,6,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
J2550 - PROMETHAZINE INJ 25MG,J2550,CPT,,both,25,ME,4,4,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,3,
J2590 - OXYTOCIN INJ 10 UNITS,J2590,CPT,,both,10,ME,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,15,,,,,,,fee schedule,,15,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J2597 - DESMOPRESSIN I 4MCG/ML,J2597,CPT,,both,4,ML,87360,87360,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41600,,,,,,,fee schedule,,41600,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,41600,41600,
J2690 - PROCAINAMIDE 1GM/250ML D5W,J2690,CPT,,both,1,ME,479,479,,370,,,,,,,fee schedule,,114,,,,,,,fee schedule,,424,,,,,,,fee schedule,,424,,,,,,,fee schedule,,46,,,,,,,fee schedule,,46,,,,,,,fee schedule,,250,,,,,,,fee schedule,,185,,,,,,,fee schedule,,167,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,250,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,269,,,,,,,fee schedule,,274,,,,,,,fee schedule,,288,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,220,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,200,,,,,,,fee schedule,,206,,,,,,,fee schedule,,450,,,,,,,fee schedule,,46,450,
J2704 - PROPOFOL INJ 10MG (1GM/100ML),J2704,CPT,,both,10,ME,1013,1013,,1050,,,,,,,case rate,,1027,,,,,,,case rate,,212,,,,,,,case rate,,212,,,,,,,case rate,,1085,,,,,,,case rate,,1085,,,,,,,case rate,,213,,,,,,,case rate,,657,,,,,,,case rate,,666,,,,,,,case rate,,134,,,,,,,case rate,,134,,,,,,,case rate,,134,,,,,,,case rate,,137,,,,,,,case rate,,134,,,,,,,case rate,,134,,,,,,,case rate,,134,,,,,,,case rate,,125,,,,,,,case rate,,134,,,,,,,case rate,,134,,,,,,,case rate,,134,,,,,,,case rate,,134,,,,,,,case rate,,137,,,,,,,case rate,,143,,,,,,,case rate,,171,,,,,,,case rate,,171,,,,,,,case rate,,171,,,,,,,case rate,,171,,,,,,,case rate,,171,,,,,,,case rate,,171,,,,,,,case rate,,188,,,,,,,case rate,,171,,,,,,,case rate,,171,,,,,,,case rate,,171,,,,,,,case rate,,176,,,,,,,case rate,,384,,,,,,,case rate,,125,1085,
J2710 - NEOSTIGMINE 0.5MG (10MG/10ML),J2710,CPT,,both,0.5,ME,105962,105962,,86476,,,,,,,case rate,,104050,,,,,,,case rate,,84004,,,,,,,case rate,,84004,,,,,,,case rate,,120415,,,,,,,case rate,,120415,,,,,,,case rate,,89878,,,,,,,case rate,,58454,,,,,,,case rate,,  ,,,,,,,case rate,,74625,,,,,,,case rate,,74625,,,,,,,case rate,,74625,,,,,,,case rate,,76117,,,,,,,case rate,,74625,,,,,,,case rate,,74625,,,,,,,case rate,,74625,,,,,,,case rate,,69401,,,,,,,case rate,,74625,,,,,,,case rate,,74625,,,,,,,case rate,,74625,,,,,,,case rate,,74625,,,,,,,case rate,,76117,,,,,,,case rate,,79849,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,58454,120415,
J2720 - PROTAMINE INJ 10MG (250MG),J2720,CPT,,both,250,ME,42,42,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,423,,,,,,,fee schedule,,423,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,423,
J2765 - METOCLOPRAMIDE INJ 2ML,J2765,CPT,,both,2,ME,3,3,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J2785 - REGADENOSON 0.1MG (0.4MG/5ML),J2785,CPT,,both,0.1,ME,809,809,,177,,,,,,,fee schedule,,93,,,,,,,fee schedule,,354,,,,,,,fee schedule,,354,,,,,,,fee schedule,,301,,,,,,,fee schedule,,301,,,,,,,fee schedule,,828,,,,,,,fee schedule,,245,,,,,,,fee schedule,,220,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,208,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,224,,,,,,,fee schedule,,229,,,,,,,fee schedule,,240,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,729,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,662,,,,,,,fee schedule,,682,,,,,,,fee schedule,,1491,,,,,,,fee schedule,,93,1491,
J2790 - RHOGAM,J2790,CPT,,both,,,328,328,,  ,,,,,,,fee schedule,,135,,,,,,,fee schedule,,176,,,,,,,fee schedule,,176,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,706,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,113,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,103,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,111,,,,,,,fee schedule,,113,,,,,,,fee schedule,,119,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,621,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,565,,,,,,,fee schedule,,582,,,,,,,fee schedule,,1271,,,,,,,fee schedule,,38,1271,
J2795 - ROPIVACAINE INJ  5MG/ML  30ML,J2795,CPT,,both,5,ME,60953,60953,,79434,,,,,,,case rate,,95577,,,,,,,case rate,,77163,,,,,,,case rate,,77163,,,,,,,case rate,,110610,,,,,,,case rate,,110610,,,,,,,case rate,,82559,,,,,,,case rate,,53694,,,,,,,case rate,,  ,,,,,,,case rate,,68659,,,,,,,case rate,,68659,,,,,,,case rate,,68659,,,,,,,case rate,,70032,,,,,,,case rate,,68659,,,,,,,case rate,,68659,,,,,,,case rate,,68659,,,,,,,case rate,,63853,,,,,,,case rate,,68659,,,,,,,case rate,,68659,,,,,,,case rate,,68659,,,,,,,case rate,,68659,,,,,,,case rate,,70032,,,,,,,case rate,,73465,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,53694,110610,
J2916 - FERRIC SOD GL 12.5MG (62.5MG),J2916,CPT,,both,12.5,ME,2,2,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,3,
J2920 - METHYLPRED SOD SUCC 40MG/ML,J2920,CPT,,both,40,ME,24,24,,  ,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,8,
J2930 - METHYLPRED SUC 125MG (125MG),J2930,CPT,,both,125,ME,36,36,,4,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
J2997 - TPA INJ 1 MG,J2997,CPT,,both,1,ME,11648,11648,,12926,,,,,,,case rate,,15553,,,,,,,case rate,,12557,,,,,,,case rate,,12557,,,,,,,case rate,,17999,,,,,,,case rate,,17999,,,,,,,case rate,,13435,,,,,,,case rate,,8738,,,,,,,case rate,,  ,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,12558,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,11450,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,12312,,,,,,,case rate,,12558,,,,,,,case rate,,13174,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8738,17999,
J3010 - FENTANYL 50MCG/ML 5ML,J3010,CPT,,both,50,ME,6,6,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
J3030 - SUMATRIPTAN INJ 12MG/ML,J3030,CPT,,both,12,ME,359,359,,50,,,,,,,fee schedule,,84,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,187,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,164,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,149,,,,,,,fee schedule,,154,,,,,,,fee schedule,,336,,,,,,,fee schedule,,39,336,
J3105 - TERBUTALINE INJ 1 MG,J3105,CPT,,both,1,GR,4,4,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
J3230 - CHLORPROMAZINE INJ 25MG,J3230,CPT,,both,25,GR,210,210,,,,,,,,,fee schedule,,49,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,29,76,
J3260 - TOBRAMYCIN INJ 80MG,J3260,CPT,,both,80,GR,57,57,,2,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,43,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,2,77,
J3285 - TREPROSTINIL 4MG/100ML NS,J3285,CPT,,both,4,GR,17973,17973,,11990,,,,,,,case rate,,14427,,,,,,,case rate,,11647,,,,,,,case rate,,11647,,,,,,,case rate,,16696,,,,,,,case rate,,16696,,,,,,,case rate,,12462,,,,,,,case rate,,8105,,,,,,,case rate,,  ,,,,,,,case rate,,11519,,,,,,,case rate,,11519,,,,,,,case rate,,11519,,,,,,,case rate,,11749,,,,,,,case rate,,11519,,,,,,,case rate,,11519,,,,,,,case rate,,11519,,,,,,,case rate,,10713,,,,,,,case rate,,11519,,,,,,,case rate,,11519,,,,,,,case rate,,11519,,,,,,,case rate,,11519,,,,,,,case rate,,11749,,,,,,,case rate,,12325,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8105,16696,
J3301 - TRIAMCINOLON 10MG(40MG/ML 1ML),J3301,CPT,,both,10,GR,7,7,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J3360 - DIAZEPAM INJ TO 5 MG,J3360,CPT,,both,5,GR,36,36,,4,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,9,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
J3370 - VANCOMYCIN INJ 500MG (1GM),J3370,CPT,,both,500,GR,784,784,,23,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,22,,,,,,,fee schedule,,22,,,,,,,fee schedule,,212,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,186,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,169,,,,,,,fee schedule,,174,,,,,,,fee schedule,,381,,,,,,,fee schedule,,6,381,
J3380 - VEDOLIZUMAB INJ 1MG (300MG),J3380,CPT,,both,1,GR,12143,12143,,9778,,,,,,,case rate,,11765,,,,,,,case rate,,9499,,,,,,,case rate,,9499,,,,,,,case rate,,13616,,,,,,,case rate,,13616,,,,,,,case rate,,10163,,,,,,,case rate,,6610,,,,,,,case rate,,  ,,,,,,,case rate,,9645,,,,,,,case rate,,9645,,,,,,,case rate,,9645,,,,,,,case rate,,9838,,,,,,,case rate,,9645,,,,,,,case rate,,9645,,,,,,,case rate,,9645,,,,,,,case rate,,8970,,,,,,,case rate,,9645,,,,,,,case rate,,9645,,,,,,,case rate,,9645,,,,,,,case rate,,9645,,,,,,,case rate,,9838,,,,,,,case rate,,10320,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6610,13616,
J3410 - HYDROXYZINE INJ 50MG/ML,J3410,CPT,,both,50,ME,23,23,,  ,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,12,
J3411 - THIAMINE INJ 100MG (200MG/2ML),J3411,CPT,,both,200,ME,4,4,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J3415 - PYRIDOXINE INJ 100MG/ML,J3415,CPT,,both,100,ML,53,53,,4,,,,,,,fee schedule,,15,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,37,,,,,,,fee schedule,,12,,,,,,,fee schedule,,12,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,4,66,
J3420 - VITAMIN B-12 INJECTION TO 1000,J3420,CPT,,both,1,ME,2,2,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,3,
J3430 - PHYTONADIONE INJ 10MG,J3430,CPT,,both,10,ME,22,22,,2,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,43,,,,,,,fee schedule,,5,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,38,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,77,,,,,,,fee schedule,,2,77,
J3470 - HYALURONIDASE INJ 240 U/1.2ML,J3470,CPT,,both,240,ML,105,105,,32,,,,,,,fee schedule,,35,,,,,,,fee schedule,,38,,,,,,,fee schedule,,38,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,256,,,,,,,fee schedule,,740,,,,,,,fee schedule,,666,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,22,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,24,,,,,,,fee schedule,,26,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,225,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,205,,,,,,,fee schedule,,211,,,,,,,fee schedule,,460,,,,,,,fee schedule,,1,1121,
J3475 - MAG SUL I 50% 2ML 500MG/ML,J3475,CPT,,both,2,ML,7,7,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J3480 - KCL INJ 2MEQ (20MEQ/10ML),J3480,CPT,,both,20,ML,69622,69622,,88965,,,,,,,case rate,,107046,,,,,,,case rate,,86422,,,,,,,case rate,,86422,,,,,,,case rate,,123882,,,,,,,case rate,,123882,,,,,,,case rate,,92466,,,,,,,case rate,,60137,,,,,,,case rate,,  ,,,,,,,case rate,,76734,,,,,,,case rate,,76734,,,,,,,case rate,,76734,,,,,,,case rate,,78269,,,,,,,case rate,,76734,,,,,,,case rate,,76734,,,,,,,case rate,,76734,,,,,,,case rate,,71363,,,,,,,case rate,,76734,,,,,,,case rate,,76734,,,,,,,case rate,,76734,,,,,,,case rate,,76734,,,,,,,case rate,,78269,,,,,,,case rate,,82106,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,60137,123882,
J3485 - ZIDOVUDINE 1GM/1000ML D5W BAG,J3485,CPT,,both,1,ML,63,63,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,44,,,,,,,fee schedule,,44,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2,44,
J3489 - ZOLEDRONIC ACID INJ 1MG (4MG),J3489,CPT,,both,1,ME,60,60,,9,,,,,,,fee schedule,,25,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,14,,,,,,,fee schedule,,14,,,,,,,fee schedule,,56,,,,,,,fee schedule,,106,,,,,,,fee schedule,,95,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,36,,,,,,,fee schedule,,38,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,49,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,45,,,,,,,fee schedule,,46,,,,,,,fee schedule,,101,,,,,,,fee schedule,,9,160,
J3490 - RIFAMPIN INJ 600MG,J3490,CPT,,both,600,ME,13795,13795,,17503,,,,,,,case rate,,21061,,,,,,,case rate,,17003,,,,,,,case rate,,17003,,,,,,,case rate,,24373,,,,,,,case rate,,24373,,,,,,,case rate,,18192,,,,,,,case rate,,11832,,,,,,,case rate,,  ,,,,,,,case rate,,16190,,,,,,,case rate,,16190,,,,,,,case rate,,16190,,,,,,,case rate,,16514,,,,,,,case rate,,16190,,,,,,,case rate,,16190,,,,,,,case rate,,16190,,,,,,,case rate,,15057,,,,,,,case rate,,16190,,,,,,,case rate,,16190,,,,,,,case rate,,16190,,,,,,,case rate,,16190,,,,,,,case rate,,16514,,,,,,,case rate,,17323,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11832,24373,
J7060 - DEXTROSE  5% INJ 25ML BG,J7060,CPT,,both,25,ME,5,5,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,13,,,,,,,fee schedule,,1,13,
J7168 - KCENTRA PROTHROMBIN COMP CON,J7168,CPT,,both,,,27416,27416,,536,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,536,16075,
J7192 - ADVATE HEM.F.V111,J7192,CPT,,both,1,ME,4,4,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
J7296 - KYLEENA,J7296,CPT,,both,,,1085,1085,,  ,,,,,,,fee schedule,,1576,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,657,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,578,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,541,,,,,,,fee schedule,,1182,,,,,,,fee schedule,,1,1576,
"J7297 - LILETTA, 52 MG",J7297,CPT,,both,52,ME,525,525,,  ,,,,,,,fee schedule,,1187,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,657,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,578,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,541,,,,,,,fee schedule,,1182,,,,,,,fee schedule,,1,1187,
"J7298 - MIRENA, 52 MG",J7298,CPT,,both,52,ME,1085,1085,,  ,,,,,,,fee schedule,,1576,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,378,,,,,,,fee schedule,,378,,,,,,,fee schedule,,657,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,578,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,541,,,,,,,fee schedule,,1182,,,,,,,fee schedule,,1,1576,
J7300 - PARAGARD,J7300,CPT,,both,,,298,298,,  ,,,,,,,fee schedule,,1402,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,156,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,138,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,125,,,,,,,fee schedule,,129,,,,,,,fee schedule,,281,,,,,,,fee schedule,,1,1402,
J7307 - IMPLANON,J7307,CPT,,both,,,478,478,,  ,,,,,,,fee schedule,,1544,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,400,,,,,,,fee schedule,,400,,,,,,,fee schedule,,657,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,578,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,525,,,,,,,fee schedule,,541,,,,,,,fee schedule,,1182,,,,,,,fee schedule,,1,1544,
J7312 - DEXAMETHASONE IMP (0.1MG)0.7MG,J7312,CPT,,both,0.1,ME,14104,14104,,17420,,,,,,,case rate,,20960,,,,,,,case rate,,16922,,,,,,,case rate,,16922,,,,,,,case rate,,24257,,,,,,,case rate,,24257,,,,,,,case rate,,18106,,,,,,,case rate,,11775,,,,,,,case rate,,  ,,,,,,,case rate,,16120,,,,,,,case rate,,16120,,,,,,,case rate,,16120,,,,,,,case rate,,16442,,,,,,,case rate,,16120,,,,,,,case rate,,16120,,,,,,,case rate,,16120,,,,,,,case rate,,14991,,,,,,,case rate,,16120,,,,,,,case rate,,16120,,,,,,,case rate,,16120,,,,,,,case rate,,16120,,,,,,,case rate,,16442,,,,,,,case rate,,17248,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11775,24257,
J7402 - IMPLANT PROPEL SINUS # 60011,J7402,CPT,,both,1,ME,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J7500 - AZATHIOPRINE-ORAL TAB 50 MG,J7500,CPT,,both,50,ME,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J7507 - TACROLIMUS CAP 1MG (5MG),J7507,CPT,,both,1,ME,56,56,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J7509 - METHYLPREDNISOL T 1H 6MG,J7509,CPT,,both,1,ME,69144,69144,,113608,,,,,,,case rate,,136697,,,,,,,case rate,,110361,,,,,,,case rate,,110361,,,,,,,case rate,,158196,,,,,,,case rate,,158196,,,,,,,case rate,,118078,,,,,,,case rate,,76795,,,,,,,case rate,,  ,,,,,,,case rate,,97612,,,,,,,case rate,,97612,,,,,,,case rate,,97612,,,,,,,case rate,,99564,,,,,,,case rate,,97612,,,,,,,case rate,,97612,,,,,,,case rate,,97612,,,,,,,case rate,,90779,,,,,,,case rate,,97612,,,,,,,case rate,,97612,,,,,,,case rate,,97612,,,,,,,case rate,,97612,,,,,,,case rate,,99564,,,,,,,case rate,,104445,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,76795,158196,
J7510 - PREDNISOLONE 15MG/5ML ORAL SYR,J7510,CPT,,both,15,ME,76267,76267,,77268,,,,,,,case rate,,92971,,,,,,,case rate,,75059,,,,,,,case rate,,75059,,,,,,,case rate,,107593,,,,,,,case rate,,107593,,,,,,,case rate,,80308,,,,,,,case rate,,52230,,,,,,,case rate,,  ,,,,,,,case rate,,66824,,,,,,,case rate,,66824,,,,,,,case rate,,66824,,,,,,,case rate,,68160,,,,,,,case rate,,66824,,,,,,,case rate,,66824,,,,,,,case rate,,66824,,,,,,,case rate,,62146,,,,,,,case rate,,66824,,,,,,,case rate,,66824,,,,,,,case rate,,66824,,,,,,,case rate,,66824,,,,,,,case rate,,68160,,,,,,,case rate,,71501,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,52230,107593,
J7512 - PREDNISONE TAB 1MG (20MG),J7512,CPT,,both,1,ME,133873,133873,,70950,,,,,,,case rate,,85369,,,,,,,case rate,,68922,,,,,,,case rate,,68922,,,,,,,case rate,,98796,,,,,,,case rate,,98796,,,,,,,case rate,,73741,,,,,,,case rate,,47959,,,,,,,case rate,,  ,,,,,,,case rate,,61471,,,,,,,case rate,,61471,,,,,,,case rate,,61471,,,,,,,case rate,,62700,,,,,,,case rate,,61471,,,,,,,case rate,,61471,,,,,,,case rate,,61471,,,,,,,case rate,,57168,,,,,,,case rate,,61471,,,,,,,case rate,,61471,,,,,,,case rate,,61471,,,,,,,case rate,,61471,,,,,,,case rate,,62700,,,,,,,case rate,,65774,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,47959,98796,
J7517 - MYCOPHENOLATE TAB 250MG,J7517,CPT,,both,1,ME,39,39,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,7,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,14,,,,,,,fee schedule,,1,14,
J7518 - MYCOPHENOLIC TAB 360MG,J7518,CPT,,both,360,ME,6,6,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J7608 - ACETYLCYSTINE 1GM (800MG/4ML),J7608,CPT,,both,800,GR,13,13,,2,,,,,,,fee schedule,,7,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,37,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,32,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,29,,,,,,,fee schedule,,30,,,,,,,fee schedule,,66,,,,,,,fee schedule,,2,66,
J7611 - ALBUTEROL INH SOL 0.5% 1MG,J7611,CPT,,both,0.5,ME,27863,27863,,97674,,,,,,,case rate,,117524,,,,,,,case rate,,94882,,,,,,,case rate,,94882,,,,,,,case rate,,136009,,,,,,,case rate,,136009,,,,,,,case rate,,101517,,,,,,,case rate,,66024,,,,,,,case rate,,  ,,,,,,,case rate,,84112,,,,,,,case rate,,84112,,,,,,,case rate,,84112,,,,,,,case rate,,85794,,,,,,,case rate,,84112,,,,,,,case rate,,84112,,,,,,,case rate,,84112,,,,,,,case rate,,78224,,,,,,,case rate,,84112,,,,,,,case rate,,84112,,,,,,,case rate,,84112,,,,,,,case rate,,84112,,,,,,,case rate,,85794,,,,,,,case rate,,90000,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,66024,136009,
J7613 - ALBUTERSOL IN SOL 0.083%,J7613,CPT,,both,0.1,UN,46396,46396,,72345,,,,,,,case rate,,87047,,,,,,,case rate,,70277,,,,,,,case rate,,70277,,,,,,,case rate,,100738,,,,,,,case rate,,100738,,,,,,,case rate,,75191,,,,,,,case rate,,48902,,,,,,,case rate,,  ,,,,,,,case rate,,62653,,,,,,,case rate,,62653,,,,,,,case rate,,62653,,,,,,,case rate,,63906,,,,,,,case rate,,62653,,,,,,,case rate,,62653,,,,,,,case rate,,62653,,,,,,,case rate,,58267,,,,,,,case rate,,62653,,,,,,,case rate,,62653,,,,,,,case rate,,62653,,,,,,,case rate,,62653,,,,,,,case rate,,63906,,,,,,,case rate,,67039,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,48902,100738,
J7614 - LEVALBUTEROL INH 0.5MG(1.25MG),J7614,CPT,,both,0.5,ME,158755,158755,,78529,,,,,,,case rate,,94489,,,,,,,case rate,,76284,,,,,,,case rate,,76284,,,,,,,case rate,,109350,,,,,,,case rate,,109350,,,,,,,case rate,,81619,,,,,,,case rate,,53083,,,,,,,case rate,,  ,,,,,,,case rate,,67892,,,,,,,case rate,,67892,,,,,,,case rate,,67892,,,,,,,case rate,,69250,,,,,,,case rate,,67892,,,,,,,case rate,,67892,,,,,,,case rate,,67892,,,,,,,case rate,,63140,,,,,,,case rate,,67892,,,,,,,case rate,,67892,,,,,,,case rate,,67892,,,,,,,case rate,,67892,,,,,,,case rate,,69250,,,,,,,case rate,,72645,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,53083,109350,
J7620 - ALBUT/IPRAT INH 3ML(2.5MG/0.5),J7620,CPT,,both,3,ME,58919,58919,,95431,,,,,,,case rate,,114825,,,,,,,case rate,,92703,,,,,,,case rate,,92703,,,,,,,case rate,,132885,,,,,,,case rate,,132885,,,,,,,case rate,,99185,,,,,,,case rate,,64508,,,,,,,case rate,,  ,,,,,,,case rate,,82212,,,,,,,case rate,,82212,,,,,,,case rate,,82212,,,,,,,case rate,,83856,,,,,,,case rate,,82212,,,,,,,case rate,,82212,,,,,,,case rate,,82212,,,,,,,case rate,,76457,,,,,,,case rate,,82212,,,,,,,case rate,,82212,,,,,,,case rate,,82212,,,,,,,case rate,,82212,,,,,,,case rate,,83856,,,,,,,case rate,,87967,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64508,132885,
J7622 - BECLOMETHASAONE INH 40MCG,J7622,CPT,,both,40,ME,13733,13733,,13454,,,,,,,case rate,,16188,,,,,,,case rate,,13069,,,,,,,case rate,,13069,,,,,,,case rate,,18734,,,,,,,case rate,,18734,,,,,,,case rate,,13983,,,,,,,case rate,,9094,,,,,,,case rate,,  ,,,,,,,case rate,,12759,,,,,,,case rate,,12759,,,,,,,case rate,,12759,,,,,,,case rate,,13014,,,,,,,case rate,,12759,,,,,,,case rate,,12759,,,,,,,case rate,,12759,,,,,,,case rate,,11866,,,,,,,case rate,,12759,,,,,,,case rate,,12759,,,,,,,case rate,,12759,,,,,,,case rate,,12759,,,,,,,case rate,,13014,,,,,,,case rate,,13652,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9094,18734,
J7626 - BUDESONIDE RESPULE 0.25MG,J7626,CPT,,both,0.3,ME,17,17,,  ,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,6,
J7643 - GLYCOPYRROLATE 1MG (0.6MG/3ML),J7643,CPT,,both,1,ME,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
J8499 - ACYCLOVIR TAB 400MG,J8499,CPT,,both,400,ME,2372,2372,,13476,,,,,,,case rate,,16215,,,,,,,case rate,,13091,,,,,,,case rate,,13091,,,,,,,case rate,,18765,,,,,,,case rate,,18765,,,,,,,case rate,,14006,,,,,,,case rate,,9109,,,,,,,case rate,,  ,,,,,,,case rate,,12778,,,,,,,case rate,,12778,,,,,,,case rate,,12778,,,,,,,case rate,,13033,,,,,,,case rate,,12778,,,,,,,case rate,,12778,,,,,,,case rate,,12778,,,,,,,case rate,,11883,,,,,,,case rate,,12778,,,,,,,case rate,,12778,,,,,,,case rate,,12778,,,,,,,case rate,,12778,,,,,,,case rate,,13033,,,,,,,case rate,,13672,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9109,18765,
J8530 - CYCLOPHOSPHAMIDE TB 25MG(50MG),J8530,CPT,,both,25,ME,42,42,,2,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,42,,,,,,,fee schedule,,6,,,,,,,fee schedule,,6,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,37,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,34,,,,,,,fee schedule,,35,,,,,,,fee schedule,,76,,,,,,,fee schedule,,2,76,
J8540 - DEXAMETHASONE (0.25MG)4MG TAB,J8540,CPT,,both,0.3,ME,81621,81621,,79781,,,,,,,case rate,,95995,,,,,,,case rate,,77500,,,,,,,case rate,,77500,,,,,,,case rate,,111093,,,,,,,case rate,,111093,,,,,,,case rate,,82920,,,,,,,case rate,,53929,,,,,,,case rate,,  ,,,,,,,case rate,,68953,,,,,,,case rate,,68953,,,,,,,case rate,,68953,,,,,,,case rate,,70332,,,,,,,case rate,,68953,,,,,,,case rate,,68953,,,,,,,case rate,,68953,,,,,,,case rate,,64126,,,,,,,case rate,,68953,,,,,,,case rate,,68953,,,,,,,case rate,,68953,,,,,,,case rate,,68953,,,,,,,case rate,,70332,,,,,,,case rate,,73780,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,53929,111093,
J8610 - METHOTREXATE ORAL 2.5 MG,J8610,CPT,,both,2.5,ME,1,1,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J8999 - ANASTROZOLE TAB 1MG,J8999,CPT,,both,1,ME,32475,32475,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,14728,,,,,,,fee schedule,,14728,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,14728,14728,
"J9000 - DOXORUBICIN HCL, 10 MG VIAL",J9000,CPT,,both,10,ME,28,28,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,4,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J9041 - BORTEZOMIB INJ 0.1MG (3.5MG),J9041,CPT,,both,3.5,ME,18347,18347,,735,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,16075,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,9475,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10188,,,,,,,fee schedule,,10392,,,,,,,fee schedule,,10901,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,735,16075,
J9042 - BRENTUXIMAB VEDOTIN 50 MG,J9042,CPT,,both,50,ME,19179,19179,,18253,,,,,,,case rate,,21962,,,,,,,case rate,,17731,,,,,,,case rate,,17731,,,,,,,case rate,,25416,,,,,,,case rate,,25416,,,,,,,case rate,,18971,,,,,,,case rate,,12338,,,,,,,case rate,,  ,,,,,,,case rate,,16825,,,,,,,case rate,,16825,,,,,,,case rate,,16825,,,,,,,case rate,,17161,,,,,,,case rate,,16825,,,,,,,case rate,,16825,,,,,,,case rate,,16825,,,,,,,case rate,,15647,,,,,,,case rate,,16825,,,,,,,case rate,,16825,,,,,,,case rate,,16825,,,,,,,case rate,,16825,,,,,,,case rate,,17161,,,,,,,case rate,,18003,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12338,25416,
"J9045 - INJECTION,CARBOPLATIN PER 50MG",J9045,CPT,,both,50,ME,21,21,,  ,,,,,,,fee schedule,,5,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,5,
J9047 - CARFILZOMIB 1MG (60MG),J9047,CPT,,both,60,ME,10018,10018,,11698,,,,,,,case rate,,14075,,,,,,,case rate,,11363,,,,,,,case rate,,11363,,,,,,,case rate,,16289,,,,,,,case rate,,16289,,,,,,,case rate,,12158,,,,,,,case rate,,7907,,,,,,,case rate,,  ,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11497,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,10482,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11497,,,,,,,case rate,,12060,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7907,16289,
J9048 - BORTEZOMIB INJ (3.5MG)FRE KABI,J9048,CPT,,both,3.5,ME,15823,15823,,11698,,,,,,,case rate,,14075,,,,,,,case rate,,11363,,,,,,,case rate,,11363,,,,,,,case rate,,16289,,,,,,,case rate,,16289,,,,,,,case rate,,12158,,,,,,,case rate,,7907,,,,,,,case rate,,  ,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11497,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,10482,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11271,,,,,,,case rate,,11497,,,,,,,case rate,,12060,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7907,16289,
"J9060 - CISPLATIN, 10 MG VIAL",J9060,CPT,,both,10,ME,3,3,,  ,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,3,,,,,,,fee schedule,,3,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,3,
"J9070 - CYCLOPHOSPAMIDE,10 CC OR 100MG",J9070,CPT,,both,10,ME,8681,8681,,8687,,,,,,,case rate,,10452,,,,,,,case rate,,8438,,,,,,,case rate,,8438,,,,,,,case rate,,12096,,,,,,,case rate,,12096,,,,,,,case rate,,9028,,,,,,,case rate,,5872,,,,,,,case rate,,  ,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8895,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8110,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8895,,,,,,,case rate,,9331,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5872,12096,
"J9100 - CYTARABINE HCL, 100 MG",J9100,CPT,,both,100,ME,1,1,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,97,,,,,,,fee schedule,,97,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J9171 - DOCETAXEL INJ 1MG (80MG/4ML),J9171,CPT,,both,80,ME,10,10,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,2,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,7502,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,7502,
"J9181 - ETOPOSIDE, UP TO 50 MG",J9181,CPT,,both,50,ME,3,3,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
"J9190 - FLOUROURACIL, 500 MGM AMP",J9190,CPT,,both,500,ME,6,6,,  ,,,,,,,fee schedule,,2,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,2,
J9201 - GEMCITABINE INJ 200MG (1000MG),J9201,CPT,,both,200,ME,33,33,,3,,,,,,,fee schedule,,10,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,46,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,41,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,37,,,,,,,fee schedule,,38,,,,,,,fee schedule,,83,,,,,,,fee schedule,,3,83,
J9202 - GOSERELIN INJ 3.6MG,J9202,CPT,,both,3.6,ME,20287,20287,,23474,,,,,,,case rate,,28245,,,,,,,case rate,,22803,,,,,,,case rate,,22803,,,,,,,case rate,,32687,,,,,,,case rate,,32687,,,,,,,case rate,,24398,,,,,,,case rate,,15868,,,,,,,case rate,,  ,,,,,,,case rate,,21249,,,,,,,case rate,,21249,,,,,,,case rate,,21249,,,,,,,case rate,,21674,,,,,,,case rate,,21249,,,,,,,case rate,,21249,,,,,,,case rate,,21249,,,,,,,case rate,,19761,,,,,,,case rate,,21249,,,,,,,case rate,,21249,,,,,,,case rate,,21249,,,,,,,case rate,,21249,,,,,,,case rate,,21674,,,,,,,case rate,,22736,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15868,32687,
"J9209 - INJECTION, MESMA, PER 200 MG",J9209,CPT,,both,200,GR,6,6,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,4,
J9217 - LEUPROLIDE DEPOT 7.5MG,J9217,CPT,,both,7.5,ME,18908,18908,,16118,,,,,,,case rate,,19394,,,,,,,case rate,,15657,,,,,,,case rate,,15657,,,,,,,case rate,,22444,,,,,,,case rate,,22444,,,,,,,case rate,,16752,,,,,,,case rate,,10895,,,,,,,case rate,,  ,,,,,,,case rate,,15016,,,,,,,case rate,,15016,,,,,,,case rate,,15016,,,,,,,case rate,,15317,,,,,,,case rate,,15016,,,,,,,case rate,,15016,,,,,,,case rate,,15016,,,,,,,case rate,,13965,,,,,,,case rate,,15016,,,,,,,case rate,,15016,,,,,,,case rate,,15016,,,,,,,case rate,,15016,,,,,,,case rate,,15317,,,,,,,case rate,,16067,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10895,22444,
J9260 - METHOTREXATE SODIUM 2CC OR 50M,J9260,CPT,,both,2,ME,8,8,,  ,,,,,,,fee schedule,,4,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,1,4,
J9261 - NELARABINE 50MG (250MG/50ML),J9261,CPT,,both,250,ME,12663,12663,,15262,,,,,,,case rate,,18364,,,,,,,case rate,,14826,,,,,,,case rate,,14826,,,,,,,case rate,,21252,,,,,,,case rate,,21252,,,,,,,case rate,,15862,,,,,,,case rate,,10316,,,,,,,case rate,,  ,,,,,,,case rate,,14291,,,,,,,case rate,,14291,,,,,,,case rate,,14291,,,,,,,case rate,,14577,,,,,,,case rate,,14291,,,,,,,case rate,,14291,,,,,,,case rate,,14291,,,,,,,case rate,,13291,,,,,,,case rate,,14291,,,,,,,case rate,,14291,,,,,,,case rate,,14291,,,,,,,case rate,,14291,,,,,,,case rate,,14577,,,,,,,case rate,,15291,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10316,21252,
J9263 - OXALIPLATIN 0.5MG (100MG/20ML),J9263,CPT,,both,100,ME,1077,1077,,1050,,,,,,,case rate,,1027,,,,,,,case rate,,371,,,,,,,case rate,,371,,,,,,,case rate,,1085,,,,,,,case rate,,1085,,,,,,,case rate,,230,,,,,,,case rate,,657,,,,,,,case rate,,666,,,,,,,case rate,,235,,,,,,,case rate,,235,,,,,,,case rate,,235,,,,,,,case rate,,240,,,,,,,case rate,,235,,,,,,,case rate,,235,,,,,,,case rate,,235,,,,,,,case rate,,219,,,,,,,case rate,,235,,,,,,,case rate,,235,,,,,,,case rate,,235,,,,,,,case rate,,235,,,,,,,case rate,,240,,,,,,,case rate,,252,,,,,,,case rate,,184,,,,,,,case rate,,184,,,,,,,case rate,,184,,,,,,,case rate,,184,,,,,,,case rate,,184,,,,,,,case rate,,184,,,,,,,case rate,,202,,,,,,,case rate,,184,,,,,,,case rate,,184,,,,,,,case rate,,184,,,,,,,case rate,,189,,,,,,,case rate,,413,,,,,,,case rate,,184,1085,
J9264 - PACLITAXEL PROTEIN BOUND 1 MG,J9264,CPT,,both,1,ME,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
J9266 - PEGASPARGASE INJ 750U/ML 5ML,J9266,CPT,,both,750,ML,35443,35443,,66120,,,,,,,case rate,,79557,,,,,,,case rate,,64230,,,,,,,case rate,,64230,,,,,,,case rate,,92070,,,,,,,case rate,,92070,,,,,,,case rate,,68721,,,,,,,case rate,,44694,,,,,,,case rate,,  ,,,,,,,case rate,,57379,,,,,,,case rate,,57379,,,,,,,case rate,,57379,,,,,,,case rate,,58526,,,,,,,case rate,,57379,,,,,,,case rate,,57379,,,,,,,case rate,,57379,,,,,,,case rate,,53362,,,,,,,case rate,,57379,,,,,,,case rate,,57379,,,,,,,case rate,,57379,,,,,,,case rate,,57379,,,,,,,case rate,,58526,,,,,,,case rate,,61395,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,44694,92070,
J9271 - PEMBROLIZUMAB INJ (1MG) 100MG,J9271,CPT,,both,1,ME,12630,12630,,12056,,,,,,,case rate,,14506,,,,,,,case rate,,11711,,,,,,,case rate,,11711,,,,,,,case rate,,16788,,,,,,,case rate,,16788,,,,,,,case rate,,12530,,,,,,,case rate,,8149,,,,,,,case rate,,  ,,,,,,,case rate,,11575,,,,,,,case rate,,11575,,,,,,,case rate,,11575,,,,,,,case rate,,11806,,,,,,,case rate,,11575,,,,,,,case rate,,11575,,,,,,,case rate,,11575,,,,,,,case rate,,10765,,,,,,,case rate,,11575,,,,,,,case rate,,11575,,,,,,,case rate,,11575,,,,,,,case rate,,11575,,,,,,,case rate,,11806,,,,,,,case rate,,12385,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8149,16788,
"J9280 - MITOMYCIN, 5 MG",J9280,CPT,,both,5,ME,229,229,,68,,,,,,,fee schedule,,232,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,,,,,,,,fee schedule,,180,,,,,,,fee schedule,,180,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,232,
J9299 - NIVOLUMAB (1MG) 100 MG VIAL,J9299,CPT,,both,100,ME,10207,10207,,10606,,,,,,,case rate,,12762,,,,,,,case rate,,10303,,,,,,,case rate,,10303,,,,,,,case rate,,14769,,,,,,,case rate,,14769,,,,,,,case rate,,11023,,,,,,,case rate,,7169,,,,,,,case rate,,  ,,,,,,,case rate,,10347,,,,,,,case rate,,10347,,,,,,,case rate,,10347,,,,,,,case rate,,10553,,,,,,,case rate,,10347,,,,,,,case rate,,10347,,,,,,,case rate,,10347,,,,,,,case rate,,9622,,,,,,,case rate,,10347,,,,,,,case rate,,10347,,,,,,,case rate,,10347,,,,,,,case rate,,10347,,,,,,,case rate,,10553,,,,,,,case rate,,11071,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7169,14769,
J9306 - PERTUZUMAB 1MG (420MG/14ML),J9306,CPT,,both,420,ME,6198,6198,,377,,,,,,,fee schedule,,,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,3912,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2306,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2479,,,,,,,fee schedule,,2529,,,,,,,fee schedule,,2653,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,377,3912,
J9312 - RITUXIMAB 10MG (10MG/ML 50ML),J9312,CPT,,both,10,ME,55750,55750,,57362,,,,,,,case rate,,69020,,,,,,,case rate,,55723,,,,,,,case rate,,55723,,,,,,,case rate,,79876,,,,,,,case rate,,79876,,,,,,,case rate,,59619,,,,,,,case rate,,38775,,,,,,,case rate,,  ,,,,,,,case rate,,49960,,,,,,,case rate,,49960,,,,,,,case rate,,49960,,,,,,,case rate,,50959,,,,,,,case rate,,49960,,,,,,,case rate,,49960,,,,,,,case rate,,49960,,,,,,,case rate,,46462,,,,,,,case rate,,49960,,,,,,,case rate,,49960,,,,,,,case rate,,49960,,,,,,,case rate,,49960,,,,,,,case rate,,50959,,,,,,,case rate,,53457,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38775,79876,
J9354 - ADO-TRASTUZUMAB EMTANSINE160MG,J9354,CPT,,both,160,ME,13656,13656,,11227,,,,,,,case rate,,13508,,,,,,,case rate,,10906,,,,,,,case rate,,10906,,,,,,,case rate,,15633,,,,,,,case rate,,15633,,,,,,,case rate,,11668,,,,,,,case rate,,7589,,,,,,,case rate,,  ,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,11090,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,10111,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,11090,,,,,,,case rate,,11633,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7589,15633,
J9355 - TRASTUZUMAB INJECTION 10 MG,J9355,CPT,,both,10,ME,14091,14091,,12777,,,,,,,case rate,,15374,,,,,,,case rate,,12412,,,,,,,case rate,,12412,,,,,,,case rate,,17791,,,,,,,case rate,,17791,,,,,,,case rate,,13280,,,,,,,case rate,,8637,,,,,,,case rate,,  ,,,,,,,case rate,,12186,,,,,,,case rate,,12186,,,,,,,case rate,,12186,,,,,,,case rate,,12429,,,,,,,case rate,,12186,,,,,,,case rate,,12186,,,,,,,case rate,,12186,,,,,,,case rate,,11333,,,,,,,case rate,,12186,,,,,,,case rate,,12186,,,,,,,case rate,,12186,,,,,,,case rate,,12186,,,,,,,case rate,,12429,,,,,,,case rate,,13039,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8637,17791,
"J9370 - VINCRISTINE SULFATE, 1MG/1ML",J9370,CPT,,both,1,ME,18,18,,  ,,,,,,,fee schedule,,9,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,13,,,,,,,fee schedule,,13,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,13,
J9395 - FULVESTRANT 25MG(250MG/5ML),J9395,CPT,,both,25,ME,1,1,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
Kidney & urinary tract infections,463,APR-DRG,,inpatient,,,5107,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5107,,,,,,,case rate,,6946,,,,,,,case rate,,5107,,,,,,,case rate,,5107,,,,,,,case rate,,5107,,,,,,,case rate,,5873,,,,,,,case rate,,5618,,,,,,,case rate,,4954,,,,,,,case rate,,5107,,,,,,,case rate,,5107,,,,,,,case rate,,5260,,,,,,,case rate,,11491,,,,,,,case rate,,4954,11491,
Kidney & urinary tract infections,463,APR-DRG,,inpatient,,,6477,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6477,,,,,,,case rate,,8809,,,,,,,case rate,,6477,,,,,,,case rate,,6477,,,,,,,case rate,,6477,,,,,,,case rate,,7449,,,,,,,case rate,,7125,,,,,,,case rate,,6283,,,,,,,case rate,,6477,,,,,,,case rate,,6477,,,,,,,case rate,,6672,,,,,,,case rate,,14574,,,,,,,case rate,,6283,14574,
Kidney & urinary tract infections,463,APR-DRG,,inpatient,,,10145,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10145,,,,,,,case rate,,13798,,,,,,,case rate,,10145,,,,,,,case rate,,10145,,,,,,,case rate,,10145,,,,,,,case rate,,11667,,,,,,,case rate,,11160,,,,,,,case rate,,9841,,,,,,,case rate,,10145,,,,,,,case rate,,10145,,,,,,,case rate,,10450,,,,,,,case rate,,22827,,,,,,,case rate,,9841,22827,
Kidney & urinary tract infections,463,APR-DRG,,inpatient,,,22416,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22416,,,,,,,case rate,,30486,,,,,,,case rate,,22416,,,,,,,case rate,,22416,,,,,,,case rate,,22416,,,,,,,case rate,,25779,,,,,,,case rate,,24658,,,,,,,case rate,,21744,,,,,,,case rate,,22416,,,,,,,case rate,,22416,,,,,,,case rate,,23089,,,,,,,case rate,,50437,,,,,,,case rate,,21744,50437,
Kidney & urinary tract malignancy,461,APR-DRG,,inpatient,,,4672,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4672,,,,,,,case rate,,6354,,,,,,,case rate,,4672,,,,,,,case rate,,4672,,,,,,,case rate,,4672,,,,,,,case rate,,5373,,,,,,,case rate,,5140,,,,,,,case rate,,4532,,,,,,,case rate,,4672,,,,,,,case rate,,4672,,,,,,,case rate,,4813,,,,,,,case rate,,10513,,,,,,,case rate,,4532,10513,
Kidney & urinary tract malignancy,461,APR-DRG,,inpatient,,,8276,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8276,,,,,,,case rate,,11255,,,,,,,case rate,,8276,,,,,,,case rate,,8276,,,,,,,case rate,,8276,,,,,,,case rate,,9517,,,,,,,case rate,,9103,,,,,,,case rate,,8028,,,,,,,case rate,,8276,,,,,,,case rate,,8276,,,,,,,case rate,,8524,,,,,,,case rate,,18621,,,,,,,case rate,,8028,18621,
Kidney & urinary tract malignancy,461,APR-DRG,,inpatient,,,15447,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15447,,,,,,,case rate,,21008,,,,,,,case rate,,15447,,,,,,,case rate,,15447,,,,,,,case rate,,15447,,,,,,,case rate,,17764,,,,,,,case rate,,16991,,,,,,,case rate,,14983,,,,,,,case rate,,15447,,,,,,,case rate,,15447,,,,,,,case rate,,15910,,,,,,,case rate,,34755,,,,,,,case rate,,14983,34755,
Kidney & urinary tract malignancy,461,APR-DRG,,inpatient,,,23928,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23928,,,,,,,case rate,,32542,,,,,,,case rate,,23928,,,,,,,case rate,,23928,,,,,,,case rate,,23928,,,,,,,case rate,,27517,,,,,,,case rate,,26321,,,,,,,case rate,,23210,,,,,,,case rate,,23928,,,,,,,case rate,,23928,,,,,,,case rate,,24646,,,,,,,case rate,,53838,,,,,,,case rate,,23210,53838,
Kidney & urinary tract procedures for malignancy,442,APR-DRG,,inpatient,,,13300,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13300,,,,,,,case rate,,18088,,,,,,,case rate,,13300,,,,,,,case rate,,13300,,,,,,,case rate,,13300,,,,,,,case rate,,15295,,,,,,,case rate,,14630,,,,,,,case rate,,12901,,,,,,,case rate,,13300,,,,,,,case rate,,13300,,,,,,,case rate,,13699,,,,,,,case rate,,29924,,,,,,,case rate,,12901,29924,
Kidney & urinary tract procedures for malignancy,442,APR-DRG,,inpatient,,,15800,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15800,,,,,,,case rate,,21489,,,,,,,case rate,,15800,,,,,,,case rate,,15800,,,,,,,case rate,,15800,,,,,,,case rate,,18170,,,,,,,case rate,,17380,,,,,,,case rate,,15326,,,,,,,case rate,,15800,,,,,,,case rate,,15800,,,,,,,case rate,,16274,,,,,,,case rate,,35551,,,,,,,case rate,,15326,35551,
Kidney & urinary tract procedures for malignancy,442,APR-DRG,,inpatient,,,28940,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28940,,,,,,,case rate,,39358,,,,,,,case rate,,28940,,,,,,,case rate,,28940,,,,,,,case rate,,28940,,,,,,,case rate,,33281,,,,,,,case rate,,31834,,,,,,,case rate,,28072,,,,,,,case rate,,28940,,,,,,,case rate,,28940,,,,,,,case rate,,29808,,,,,,,case rate,,65114,,,,,,,case rate,,28072,65114,
Kidney & urinary tract procedures for malignancy,442,APR-DRG,,inpatient,,,65532,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,65532,,,,,,,case rate,,89123,,,,,,,case rate,,65532,,,,,,,case rate,,65532,,,,,,,case rate,,65532,,,,,,,case rate,,75361,,,,,,,case rate,,72085,,,,,,,case rate,,63566,,,,,,,case rate,,65532,,,,,,,case rate,,65532,,,,,,,case rate,,67497,,,,,,,case rate,,147446,,,,,,,case rate,,63566,147446,
Kidney & urinary tract procedures for nonmalignancy,443,APR-DRG,,inpatient,,,11023,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11023,,,,,,,case rate,,14991,,,,,,,case rate,,11023,,,,,,,case rate,,11023,,,,,,,case rate,,11023,,,,,,,case rate,,12677,,,,,,,case rate,,12125,,,,,,,case rate,,10692,,,,,,,case rate,,11023,,,,,,,case rate,,11023,,,,,,,case rate,,11354,,,,,,,case rate,,24802,,,,,,,case rate,,10692,24802,
Kidney & urinary tract procedures for nonmalignancy,443,APR-DRG,,inpatient,,,12250,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12250,,,,,,,case rate,,16660,,,,,,,case rate,,12250,,,,,,,case rate,,12250,,,,,,,case rate,,12250,,,,,,,case rate,,14088,,,,,,,case rate,,13475,,,,,,,case rate,,11883,,,,,,,case rate,,12250,,,,,,,case rate,,12250,,,,,,,case rate,,12618,,,,,,,case rate,,27563,,,,,,,case rate,,11883,27563,
Kidney & urinary tract procedures for nonmalignancy,443,APR-DRG,,inpatient,,,23350,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23350,,,,,,,case rate,,31755,,,,,,,case rate,,23350,,,,,,,case rate,,23350,,,,,,,case rate,,23350,,,,,,,case rate,,26852,,,,,,,case rate,,25685,,,,,,,case rate,,22649,,,,,,,case rate,,23350,,,,,,,case rate,,23350,,,,,,,case rate,,24050,,,,,,,case rate,,52537,,,,,,,case rate,,22649,52537,
Kidney & urinary tract procedures for nonmalignancy,443,APR-DRG,,inpatient,,,52087,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,52087,,,,,,,case rate,,70838,,,,,,,case rate,,52087,,,,,,,case rate,,52087,,,,,,,case rate,,52087,,,,,,,case rate,,59900,,,,,,,case rate,,57296,,,,,,,case rate,,50524,,,,,,,case rate,,52087,,,,,,,case rate,,52087,,,,,,,case rate,,53649,,,,,,,case rate,,117195,,,,,,,case rate,,50524,117195,
Kidney transplant,440,APR-DRG,,inpatient,,,38090,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38090,,,,,,,case rate,,51803,,,,,,,case rate,,38090,,,,,,,case rate,,38090,,,,,,,case rate,,38090,,,,,,,case rate,,43804,,,,,,,case rate,,41899,,,,,,,case rate,,36948,,,,,,,case rate,,38090,,,,,,,case rate,,38090,,,,,,,case rate,,39233,,,,,,,case rate,,85703,,,,,,,case rate,,36948,85703,
Kidney transplant,440,APR-DRG,,inpatient,,,47745,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,47745,,,,,,,case rate,,64934,,,,,,,case rate,,47745,,,,,,,case rate,,47745,,,,,,,case rate,,47745,,,,,,,case rate,,54907,,,,,,,case rate,,52520,,,,,,,case rate,,46313,,,,,,,case rate,,47745,,,,,,,case rate,,47745,,,,,,,case rate,,49178,,,,,,,case rate,,107427,,,,,,,case rate,,46313,107427,
Kidney transplant,440,APR-DRG,,inpatient,,,58301,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,58301,,,,,,,case rate,,79289,,,,,,,case rate,,58301,,,,,,,case rate,,58301,,,,,,,case rate,,58301,,,,,,,case rate,,67046,,,,,,,case rate,,64131,,,,,,,case rate,,56552,,,,,,,case rate,,58301,,,,,,,case rate,,58301,,,,,,,case rate,,60050,,,,,,,case rate,,131177,,,,,,,case rate,,56552,131177,
Kidney transplant,440,APR-DRG,,inpatient,,,106728,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,106728,,,,,,,case rate,,145150,,,,,,,case rate,,106728,,,,,,,case rate,,106728,,,,,,,case rate,,106728,,,,,,,case rate,,122737,,,,,,,case rate,,117401,,,,,,,case rate,,103526,,,,,,,case rate,,106728,,,,,,,case rate,,106728,,,,,,,case rate,,109930,,,,,,,case rate,,240138,,,,,,,case rate,,103526,240138,
Knee & lower leg procedures except foot,313,APR-DRG,,inpatient,,,12296,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12296,,,,,,,case rate,,16722,,,,,,,case rate,,12296,,,,,,,case rate,,12296,,,,,,,case rate,,12296,,,,,,,case rate,,14140,,,,,,,case rate,,13525,,,,,,,case rate,,11927,,,,,,,case rate,,12296,,,,,,,case rate,,12296,,,,,,,case rate,,12664,,,,,,,case rate,,27665,,,,,,,case rate,,11927,27665,
Knee & lower leg procedures except foot,313,APR-DRG,,inpatient,,,18044,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18044,,,,,,,case rate,,24540,,,,,,,case rate,,18044,,,,,,,case rate,,18044,,,,,,,case rate,,18044,,,,,,,case rate,,20751,,,,,,,case rate,,19848,,,,,,,case rate,,17503,,,,,,,case rate,,18044,,,,,,,case rate,,18044,,,,,,,case rate,,18585,,,,,,,case rate,,40599,,,,,,,case rate,,17503,40599,
Knee & lower leg procedures except foot,313,APR-DRG,,inpatient,,,29549,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29549,,,,,,,case rate,,40187,,,,,,,case rate,,29549,,,,,,,case rate,,29549,,,,,,,case rate,,29549,,,,,,,case rate,,33982,,,,,,,case rate,,32504,,,,,,,case rate,,28663,,,,,,,case rate,,29549,,,,,,,case rate,,29549,,,,,,,case rate,,30436,,,,,,,case rate,,66486,,,,,,,case rate,,28663,66486,
Knee & lower leg procedures except foot,313,APR-DRG,,inpatient,,,66512,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,66512,,,,,,,case rate,,90456,,,,,,,case rate,,66512,,,,,,,case rate,,66512,,,,,,,case rate,,66512,,,,,,,case rate,,76489,,,,,,,case rate,,73163,,,,,,,case rate,,64517,,,,,,,case rate,,66512,,,,,,,case rate,,66512,,,,,,,case rate,,68507,,,,,,,case rate,,149652,,,,,,,case rate,,64517,149652,
Knee joint replacement,302,APR-DRG,,inpatient,,,18224,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18224,,,,,,,case rate,,24785,,,,,,,case rate,,18224,,,,,,,case rate,,18224,,,,,,,case rate,,18224,,,,,,,case rate,,20958,,,,,,,case rate,,20046,,,,,,,case rate,,17677,,,,,,,case rate,,18224,,,,,,,case rate,,18224,,,,,,,case rate,,18771,,,,,,,case rate,,41004,,,,,,,case rate,,17677,41004,
Knee joint replacement,302,APR-DRG,,inpatient,,,20562,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20562,,,,,,,case rate,,27965,,,,,,,case rate,,20562,,,,,,,case rate,,20562,,,,,,,case rate,,20562,,,,,,,case rate,,23646,,,,,,,case rate,,22618,,,,,,,case rate,,19945,,,,,,,case rate,,20562,,,,,,,case rate,,20562,,,,,,,case rate,,21179,,,,,,,case rate,,46265,,,,,,,case rate,,19945,46265,
Knee joint replacement,302,APR-DRG,,inpatient,,,27685,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27685,,,,,,,case rate,,37651,,,,,,,case rate,,27685,,,,,,,case rate,,27685,,,,,,,case rate,,27685,,,,,,,case rate,,31838,,,,,,,case rate,,30453,,,,,,,case rate,,26854,,,,,,,case rate,,27685,,,,,,,case rate,,27685,,,,,,,case rate,,28515,,,,,,,case rate,,62291,,,,,,,case rate,,26854,62291,
Knee joint replacement,302,APR-DRG,,inpatient,,,55941,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,55941,,,,,,,case rate,,76080,,,,,,,case rate,,55941,,,,,,,case rate,,55941,,,,,,,case rate,,55941,,,,,,,case rate,,64332,,,,,,,case rate,,61535,,,,,,,case rate,,54263,,,,,,,case rate,,55941,,,,,,,case rate,,55941,,,,,,,case rate,,57619,,,,,,,case rate,,125867,,,,,,,case rate,,54263,125867,
"L8600 - IMPLANT, BREAST LEVEL 15",L8600,CPT,,both,,,5110,5110,,  ,,,,,,,fee schedule,,1237,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,2044,,,,,,,fee schedule,,2044,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1237,2044,
L8613 - TUBE RICHARDS BUCKET HANDLE,L8613,CPT,,both,,,574,574,,122,,,,,,,fee schedule,,414,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,253,,,,,,,fee schedule,,321,,,,,,,fee schedule,,321,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,223,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,202,,,,,,,fee schedule,,208,,,,,,,fee schedule,,455,,,,,,,fee schedule,,122,455,
L8614 - IMPLANT COCHLEAR NUCLEUS C1632,L8614,CPT,,both,,,358,358,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,612,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,538,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,490,,,,,,,fee schedule,,504,,,,,,,fee schedule,,1101,,,,,,,fee schedule,,159,1101,
L8690 - PROSTHESIS K-HELIX SHOE,L8690,CPT,,both,,,5181,5181,,942,,,,,,,fee schedule,,56020,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,3270,,,,,,,fee schedule,,474,,,,,,,fee schedule,,474,,,,,,,fee schedule,,2578,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,1927,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2073,,,,,,,fee schedule,,2114,,,,,,,fee schedule,,2218,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2269,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2063,,,,,,,fee schedule,,2125,,,,,,,fee schedule,,4641,,,,,,,fee schedule,,474,56020,
Laparoscopic cholecystectomy,263,APR-DRG,,inpatient,,,9092,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9092,,,,,,,case rate,,12365,,,,,,,case rate,,9092,,,,,,,case rate,,9092,,,,,,,case rate,,9092,,,,,,,case rate,,10456,,,,,,,case rate,,10001,,,,,,,case rate,,8819,,,,,,,case rate,,9092,,,,,,,case rate,,9092,,,,,,,case rate,,9365,,,,,,,case rate,,20457,,,,,,,case rate,,8819,20457,
Laparoscopic cholecystectomy,263,APR-DRG,,inpatient,,,12043,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12043,,,,,,,case rate,,16378,,,,,,,case rate,,12043,,,,,,,case rate,,12043,,,,,,,case rate,,12043,,,,,,,case rate,,13849,,,,,,,case rate,,13247,,,,,,,case rate,,11681,,,,,,,case rate,,12043,,,,,,,case rate,,12043,,,,,,,case rate,,12404,,,,,,,case rate,,27096,,,,,,,case rate,,11681,27096,
Laparoscopic cholecystectomy,263,APR-DRG,,inpatient,,,16603,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16603,,,,,,,case rate,,22580,,,,,,,case rate,,16603,,,,,,,case rate,,16603,,,,,,,case rate,,16603,,,,,,,case rate,,19094,,,,,,,case rate,,18263,,,,,,,case rate,,16105,,,,,,,case rate,,16603,,,,,,,case rate,,16603,,,,,,,case rate,,17101,,,,,,,case rate,,37357,,,,,,,case rate,,16105,37357,
Laparoscopic cholecystectomy,263,APR-DRG,,inpatient,,,37717,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37717,,,,,,,case rate,,51295,,,,,,,case rate,,37717,,,,,,,case rate,,37717,,,,,,,case rate,,37717,,,,,,,case rate,,43375,,,,,,,case rate,,41489,,,,,,,case rate,,36586,,,,,,,case rate,,37717,,,,,,,case rate,,37717,,,,,,,case rate,,38849,,,,,,,case rate,,84864,,,,,,,case rate,,36586,84864,
Liver transplant &/or intestinal transplant,1,APR-DRG,,inpatient,,,63346,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,63346,,,,,,,case rate,,86151,,,,,,,case rate,,63346,,,,,,,case rate,,63346,,,,,,,case rate,,63346,,,,,,,case rate,,72848,,,,,,,case rate,,69681,,,,,,,case rate,,61446,,,,,,,case rate,,63346,,,,,,,case rate,,63346,,,,,,,case rate,,65247,,,,,,,case rate,,142529,,,,,,,case rate,,61446,142529,
Liver transplant &/or intestinal transplant,1,APR-DRG,,inpatient,,,63346,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,63346,,,,,,,case rate,,86151,,,,,,,case rate,,63346,,,,,,,case rate,,63346,,,,,,,case rate,,63346,,,,,,,case rate,,72848,,,,,,,case rate,,69681,,,,,,,case rate,,61446,,,,,,,case rate,,63346,,,,,,,case rate,,63346,,,,,,,case rate,,65247,,,,,,,case rate,,142529,,,,,,,case rate,,61446,142529,
Liver transplant &/or intestinal transplant,1,APR-DRG,,inpatient,,,85991,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,85991,,,,,,,case rate,,116948,,,,,,,case rate,,85991,,,,,,,case rate,,85991,,,,,,,case rate,,85991,,,,,,,case rate,,98890,,,,,,,case rate,,94590,,,,,,,case rate,,83411,,,,,,,case rate,,85991,,,,,,,case rate,,85991,,,,,,,case rate,,88571,,,,,,,case rate,,193479,,,,,,,case rate,,83411,193479,
Liver transplant &/or intestinal transplant,1,APR-DRG,,inpatient,,,179921,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,179921,,,,,,,case rate,,244692,,,,,,,case rate,,179921,,,,,,,case rate,,179921,,,,,,,case rate,,179921,,,,,,,case rate,,206909,,,,,,,case rate,,197913,,,,,,,case rate,,174523,,,,,,,case rate,,179921,,,,,,,case rate,,179921,,,,,,,case rate,,185318,,,,,,,case rate,,404821,,,,,,,case rate,,174523,404821,
Lower extremity arterial procedures #,181,APR-DRG,,inpatient,,,14749,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14749,,,,,,,case rate,,20059,,,,,,,case rate,,14749,,,,,,,case rate,,14749,,,,,,,case rate,,14749,,,,,,,case rate,,16961,,,,,,,case rate,,16224,,,,,,,case rate,,14306,,,,,,,case rate,,14749,,,,,,,case rate,,14749,,,,,,,case rate,,15191,,,,,,,case rate,,33185,,,,,,,case rate,,14306,33185,
Lower extremity arterial procedures #,181,APR-DRG,,inpatient,,,23410,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23410,,,,,,,case rate,,31838,,,,,,,case rate,,23410,,,,,,,case rate,,23410,,,,,,,case rate,,23410,,,,,,,case rate,,26922,,,,,,,case rate,,25751,,,,,,,case rate,,22708,,,,,,,case rate,,23410,,,,,,,case rate,,23410,,,,,,,case rate,,24113,,,,,,,case rate,,52673,,,,,,,case rate,,22708,52673,
Lower extremity arterial procedures #,181,APR-DRG,,inpatient,,,42040,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42040,,,,,,,case rate,,57175,,,,,,,case rate,,42040,,,,,,,case rate,,42040,,,,,,,case rate,,42040,,,,,,,case rate,,48346,,,,,,,case rate,,46244,,,,,,,case rate,,40779,,,,,,,case rate,,42040,,,,,,,case rate,,42040,,,,,,,case rate,,43301,,,,,,,case rate,,94590,,,,,,,case rate,,40779,94590,
Lower extremity arterial procedures #,181,APR-DRG,,inpatient,,,68004,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,68004,,,,,,,case rate,,92486,,,,,,,case rate,,68004,,,,,,,case rate,,68004,,,,,,,case rate,,68004,,,,,,,case rate,,78205,,,,,,,case rate,,74805,,,,,,,case rate,,65964,,,,,,,case rate,,68004,,,,,,,case rate,,68004,,,,,,,case rate,,70045,,,,,,,case rate,,153010,,,,,,,case rate,,65964,153010,
Lymphatic & other malignancies & neoplasms of uncertain behavior,694,APR-DRG,,inpatient,,,6400,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6400,,,,,,,case rate,,8704,,,,,,,case rate,,6400,,,,,,,case rate,,6400,,,,,,,case rate,,6400,,,,,,,case rate,,7360,,,,,,,case rate,,7040,,,,,,,case rate,,6208,,,,,,,case rate,,6400,,,,,,,case rate,,6400,,,,,,,case rate,,6592,,,,,,,case rate,,14400,,,,,,,case rate,,6208,14400,
Lymphatic & other malignancies & neoplasms of uncertain behavior,694,APR-DRG,,inpatient,,,10088,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10088,,,,,,,case rate,,13719,,,,,,,case rate,,10088,,,,,,,case rate,,10088,,,,,,,case rate,,10088,,,,,,,case rate,,11601,,,,,,,case rate,,11097,,,,,,,case rate,,9785,,,,,,,case rate,,10088,,,,,,,case rate,,10088,,,,,,,case rate,,10390,,,,,,,case rate,,22698,,,,,,,case rate,,9785,22698,
Lymphatic & other malignancies & neoplasms of uncertain behavior,694,APR-DRG,,inpatient,,,16660,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16660,,,,,,,case rate,,22657,,,,,,,case rate,,16660,,,,,,,case rate,,16660,,,,,,,case rate,,16660,,,,,,,case rate,,19159,,,,,,,case rate,,18326,,,,,,,case rate,,16160,,,,,,,case rate,,16660,,,,,,,case rate,,16660,,,,,,,case rate,,17159,,,,,,,case rate,,37484,,,,,,,case rate,,16160,37484,
Lymphatic & other malignancies & neoplasms of uncertain behavior,694,APR-DRG,,inpatient,,,34754,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34754,,,,,,,case rate,,47265,,,,,,,case rate,,34754,,,,,,,case rate,,34754,,,,,,,case rate,,34754,,,,,,,case rate,,39967,,,,,,,case rate,,38229,,,,,,,case rate,,33711,,,,,,,case rate,,34754,,,,,,,case rate,,34754,,,,,,,case rate,,35797,,,,,,,case rate,,78197,,,,,,,case rate,,33711,78197,
"Lymphoma, myeloma & non-acute leukemia",691,APR-DRG,,inpatient,,,10511,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10511,,,,,,,case rate,,14295,,,,,,,case rate,,10511,,,,,,,case rate,,10511,,,,,,,case rate,,10511,,,,,,,case rate,,12088,,,,,,,case rate,,11562,,,,,,,case rate,,10196,,,,,,,case rate,,10511,,,,,,,case rate,,10511,,,,,,,case rate,,10827,,,,,,,case rate,,23650,,,,,,,case rate,,10196,23650,
"Lymphoma, myeloma & non-acute leukemia",691,APR-DRG,,inpatient,,,15253,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15253,,,,,,,case rate,,20743,,,,,,,case rate,,15253,,,,,,,case rate,,15253,,,,,,,case rate,,15253,,,,,,,case rate,,17540,,,,,,,case rate,,16778,,,,,,,case rate,,14795,,,,,,,case rate,,15253,,,,,,,case rate,,15253,,,,,,,case rate,,15710,,,,,,,case rate,,34318,,,,,,,case rate,,14795,34318,
"Lymphoma, myeloma & non-acute leukemia",691,APR-DRG,,inpatient,,,25826,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25826,,,,,,,case rate,,35123,,,,,,,case rate,,25826,,,,,,,case rate,,25826,,,,,,,case rate,,25826,,,,,,,case rate,,29699,,,,,,,case rate,,28408,,,,,,,case rate,,25051,,,,,,,case rate,,25826,,,,,,,case rate,,25826,,,,,,,case rate,,26600,,,,,,,case rate,,58107,,,,,,,case rate,,25051,58107,
"Lymphoma, myeloma & non-acute leukemia",691,APR-DRG,,inpatient,,,65089,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,65089,,,,,,,case rate,,88520,,,,,,,case rate,,65089,,,,,,,case rate,,65089,,,,,,,case rate,,65089,,,,,,,case rate,,74852,,,,,,,case rate,,71597,,,,,,,case rate,,63136,,,,,,,case rate,,65089,,,,,,,case rate,,65089,,,,,,,case rate,,67041,,,,,,,case rate,,146449,,,,,,,case rate,,63136,146449,
M0245 - BAMLAN AND ETESEV INFUSION,M0245,CPT,,both,,,19159,19159,,24504,,,,,,,case rate,,29485,,,,,,,case rate,,23804,,,,,,,case rate,,23804,,,,,,,case rate,,34122,,,,,,,case rate,,34122,,,,,,,case rate,,25469,,,,,,,case rate,,16564,,,,,,,case rate,,  ,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,22564,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,20573,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,22122,,,,,,,case rate,,22564,,,,,,,case rate,,23670,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16564,34122,
Major abdominal vascular procedures,169,APR-DRG,,inpatient,,,18329,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18329,,,,,,,case rate,,24927,,,,,,,case rate,,18329,,,,,,,case rate,,18329,,,,,,,case rate,,18329,,,,,,,case rate,,21078,,,,,,,case rate,,20162,,,,,,,case rate,,17779,,,,,,,case rate,,18329,,,,,,,case rate,,18329,,,,,,,case rate,,18879,,,,,,,case rate,,41240,,,,,,,case rate,,17779,41240,
Major abdominal vascular procedures,169,APR-DRG,,inpatient,,,23520,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23520,,,,,,,case rate,,31987,,,,,,,case rate,,23520,,,,,,,case rate,,23520,,,,,,,case rate,,23520,,,,,,,case rate,,27048,,,,,,,case rate,,25872,,,,,,,case rate,,22815,,,,,,,case rate,,23520,,,,,,,case rate,,23520,,,,,,,case rate,,24226,,,,,,,case rate,,52920,,,,,,,case rate,,22815,52920,
Major abdominal vascular procedures,169,APR-DRG,,inpatient,,,38187,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38187,,,,,,,case rate,,51934,,,,,,,case rate,,38187,,,,,,,case rate,,38187,,,,,,,case rate,,38187,,,,,,,case rate,,43915,,,,,,,case rate,,42006,,,,,,,case rate,,37041,,,,,,,case rate,,38187,,,,,,,case rate,,38187,,,,,,,case rate,,39332,,,,,,,case rate,,85920,,,,,,,case rate,,37041,85920,
Major abdominal vascular procedures,169,APR-DRG,,inpatient,,,73826,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,73826,,,,,,,case rate,,100403,,,,,,,case rate,,73826,,,,,,,case rate,,73826,,,,,,,case rate,,73826,,,,,,,case rate,,84900,,,,,,,case rate,,81208,,,,,,,case rate,,71611,,,,,,,case rate,,73826,,,,,,,case rate,,73826,,,,,,,case rate,,76041,,,,,,,case rate,,166108,,,,,,,case rate,,71611,166108,
Major biliary tract procedures,261,APR-DRG,,inpatient,,,14372,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14372,,,,,,,case rate,,19546,,,,,,,case rate,,14372,,,,,,,case rate,,14372,,,,,,,case rate,,14372,,,,,,,case rate,,16527,,,,,,,case rate,,15809,,,,,,,case rate,,13941,,,,,,,case rate,,14372,,,,,,,case rate,,14372,,,,,,,case rate,,14803,,,,,,,case rate,,32336,,,,,,,case rate,,13941,32336,
Major biliary tract procedures,261,APR-DRG,,inpatient,,,20577,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20577,,,,,,,case rate,,27984,,,,,,,case rate,,20577,,,,,,,case rate,,20577,,,,,,,case rate,,20577,,,,,,,case rate,,23663,,,,,,,case rate,,22634,,,,,,,case rate,,19959,,,,,,,case rate,,20577,,,,,,,case rate,,20577,,,,,,,case rate,,21194,,,,,,,case rate,,46297,,,,,,,case rate,,19959,46297,
Major biliary tract procedures,261,APR-DRG,,inpatient,,,31742,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31742,,,,,,,case rate,,43169,,,,,,,case rate,,31742,,,,,,,case rate,,31742,,,,,,,case rate,,31742,,,,,,,case rate,,36503,,,,,,,case rate,,34916,,,,,,,case rate,,30789,,,,,,,case rate,,31742,,,,,,,case rate,,31742,,,,,,,case rate,,32694,,,,,,,case rate,,71418,,,,,,,case rate,,30789,71418,
Major biliary tract procedures,261,APR-DRG,,inpatient,,,63113,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,63113,,,,,,,case rate,,85834,,,,,,,case rate,,63113,,,,,,,case rate,,63113,,,,,,,case rate,,63113,,,,,,,case rate,,72580,,,,,,,case rate,,69424,,,,,,,case rate,,61220,,,,,,,case rate,,63113,,,,,,,case rate,,63113,,,,,,,case rate,,65006,,,,,,,case rate,,142004,,,,,,,case rate,,61220,142004,
Major bladder procedures,441,APR-DRG,,inpatient,,,13160,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13160,,,,,,,case rate,,17898,,,,,,,case rate,,13160,,,,,,,case rate,,13160,,,,,,,case rate,,13160,,,,,,,case rate,,15134,,,,,,,case rate,,14476,,,,,,,case rate,,12765,,,,,,,case rate,,13160,,,,,,,case rate,,13160,,,,,,,case rate,,13555,,,,,,,case rate,,29610,,,,,,,case rate,,12765,29610,
Major bladder procedures,441,APR-DRG,,inpatient,,,22882,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22882,,,,,,,case rate,,31119,,,,,,,case rate,,22882,,,,,,,case rate,,22882,,,,,,,case rate,,22882,,,,,,,case rate,,26314,,,,,,,case rate,,25170,,,,,,,case rate,,22195,,,,,,,case rate,,22882,,,,,,,case rate,,22882,,,,,,,case rate,,23568,,,,,,,case rate,,51484,,,,,,,case rate,,22195,51484,
Major bladder procedures,441,APR-DRG,,inpatient,,,32352,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32352,,,,,,,case rate,,43999,,,,,,,case rate,,32352,,,,,,,case rate,,32352,,,,,,,case rate,,32352,,,,,,,case rate,,37205,,,,,,,case rate,,35587,,,,,,,case rate,,31381,,,,,,,case rate,,32352,,,,,,,case rate,,32352,,,,,,,case rate,,33323,,,,,,,case rate,,72792,,,,,,,case rate,,31381,72792,
Major bladder procedures,441,APR-DRG,,inpatient,,,69513,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,69513,,,,,,,case rate,,94538,,,,,,,case rate,,69513,,,,,,,case rate,,69513,,,,,,,case rate,,69513,,,,,,,case rate,,79940,,,,,,,case rate,,76465,,,,,,,case rate,,67428,,,,,,,case rate,,69513,,,,,,,case rate,,69513,,,,,,,case rate,,71599,,,,,,,case rate,,156405,,,,,,,case rate,,67428,156405,
Major cardiothoracic repair of heart anomaly,160,APR-DRG,,inpatient,,,32337,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32337,,,,,,,case rate,,43978,,,,,,,case rate,,32337,,,,,,,case rate,,32337,,,,,,,case rate,,32337,,,,,,,case rate,,37187,,,,,,,case rate,,35570,,,,,,,case rate,,31367,,,,,,,case rate,,32337,,,,,,,case rate,,32337,,,,,,,case rate,,33307,,,,,,,case rate,,72757,,,,,,,case rate,,31367,72757,
Major cardiothoracic repair of heart anomaly,160,APR-DRG,,inpatient,,,34923,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34923,,,,,,,case rate,,47495,,,,,,,case rate,,34923,,,,,,,case rate,,34923,,,,,,,case rate,,34923,,,,,,,case rate,,40161,,,,,,,case rate,,38415,,,,,,,case rate,,33875,,,,,,,case rate,,34923,,,,,,,case rate,,34923,,,,,,,case rate,,35970,,,,,,,case rate,,78576,,,,,,,case rate,,33875,78576,
Major cardiothoracic repair of heart anomaly,160,APR-DRG,,inpatient,,,49130,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,49130,,,,,,,case rate,,66817,,,,,,,case rate,,49130,,,,,,,case rate,,49130,,,,,,,case rate,,49130,,,,,,,case rate,,56499,,,,,,,case rate,,54043,,,,,,,case rate,,47656,,,,,,,case rate,,49130,,,,,,,case rate,,49130,,,,,,,case rate,,50604,,,,,,,case rate,,110542,,,,,,,case rate,,47656,110542,
Major cardiothoracic repair of heart anomaly,160,APR-DRG,,inpatient,,,102203,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,102203,,,,,,,case rate,,138997,,,,,,,case rate,,102203,,,,,,,case rate,,102203,,,,,,,case rate,,102203,,,,,,,case rate,,117534,,,,,,,case rate,,112424,,,,,,,case rate,,99137,,,,,,,case rate,,102203,,,,,,,case rate,,102203,,,,,,,case rate,,105270,,,,,,,case rate,,229958,,,,,,,case rate,,99137,229958,
Major chest & respiratory trauma,135,APR-DRG,,inpatient,,,5320,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5320,,,,,,,case rate,,7235,,,,,,,case rate,,5320,,,,,,,case rate,,5320,,,,,,,case rate,,5320,,,,,,,case rate,,6118,,,,,,,case rate,,5852,,,,,,,case rate,,5160,,,,,,,case rate,,5320,,,,,,,case rate,,5320,,,,,,,case rate,,5479,,,,,,,case rate,,11970,,,,,,,case rate,,5160,11970,
Major chest & respiratory trauma,135,APR-DRG,,inpatient,,,7409,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7409,,,,,,,case rate,,10077,,,,,,,case rate,,7409,,,,,,,case rate,,7409,,,,,,,case rate,,7409,,,,,,,case rate,,8521,,,,,,,case rate,,8150,,,,,,,case rate,,7187,,,,,,,case rate,,7409,,,,,,,case rate,,7409,,,,,,,case rate,,7632,,,,,,,case rate,,16671,,,,,,,case rate,,7187,16671,
Major chest & respiratory trauma,135,APR-DRG,,inpatient,,,12608,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12608,,,,,,,case rate,,17147,,,,,,,case rate,,12608,,,,,,,case rate,,12608,,,,,,,case rate,,12608,,,,,,,case rate,,14499,,,,,,,case rate,,13869,,,,,,,case rate,,12230,,,,,,,case rate,,12608,,,,,,,case rate,,12608,,,,,,,case rate,,12986,,,,,,,case rate,,28368,,,,,,,case rate,,12230,28368,
Major chest & respiratory trauma,135,APR-DRG,,inpatient,,,18662,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18662,,,,,,,case rate,,25380,,,,,,,case rate,,18662,,,,,,,case rate,,18662,,,,,,,case rate,,18662,,,,,,,case rate,,21461,,,,,,,case rate,,20528,,,,,,,case rate,,18102,,,,,,,case rate,,18662,,,,,,,case rate,,18662,,,,,,,case rate,,19222,,,,,,,case rate,,41989,,,,,,,case rate,,18102,41989,
Major cranial/facial bone procedures,89,APR-DRG,,inpatient,,,14013,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14013,,,,,,,case rate,,19058,,,,,,,case rate,,14013,,,,,,,case rate,,14013,,,,,,,case rate,,14013,,,,,,,case rate,,16115,,,,,,,case rate,,15414,,,,,,,case rate,,13593,,,,,,,case rate,,14013,,,,,,,case rate,,14013,,,,,,,case rate,,14433,,,,,,,case rate,,31529,,,,,,,case rate,,13593,31529,
Major cranial/facial bone procedures,89,APR-DRG,,inpatient,,,22223,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22223,,,,,,,case rate,,30223,,,,,,,case rate,,22223,,,,,,,case rate,,22223,,,,,,,case rate,,22223,,,,,,,case rate,,25557,,,,,,,case rate,,24445,,,,,,,case rate,,21556,,,,,,,case rate,,22223,,,,,,,case rate,,22223,,,,,,,case rate,,22890,,,,,,,case rate,,50002,,,,,,,case rate,,21556,50002,
Major cranial/facial bone procedures,89,APR-DRG,,inpatient,,,39159,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39159,,,,,,,case rate,,53256,,,,,,,case rate,,39159,,,,,,,case rate,,39159,,,,,,,case rate,,39159,,,,,,,case rate,,45033,,,,,,,case rate,,43075,,,,,,,case rate,,37984,,,,,,,case rate,,39159,,,,,,,case rate,,39159,,,,,,,case rate,,40334,,,,,,,case rate,,88108,,,,,,,case rate,,37984,88108,
Major cranial/facial bone procedures,89,APR-DRG,,inpatient,,,70082,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,70082,,,,,,,case rate,,95311,,,,,,,case rate,,70082,,,,,,,case rate,,70082,,,,,,,case rate,,70082,,,,,,,case rate,,80594,,,,,,,case rate,,77090,,,,,,,case rate,,67979,,,,,,,case rate,,70082,,,,,,,case rate,,70082,,,,,,,case rate,,72184,,,,,,,case rate,,157684,,,,,,,case rate,,67979,157684,
Major depressive disorders & other/unspecified psychoses,751,APR-DRG,,inpatient,,,8820,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8820,,,,,,,case rate,,11995,,,,,,,case rate,,8820,,,,,,,case rate,,8820,,,,,,,case rate,,8820,,,,,,,case rate,,10142,,,,,,,case rate,,9702,,,,,,,case rate,,8555,,,,,,,case rate,,8820,,,,,,,case rate,,8820,,,,,,,case rate,,9084,,,,,,,case rate,,19844,,,,,,,case rate,,8555,19844,
Major depressive disorders & other/unspecified psychoses,751,APR-DRG,,inpatient,,,10856,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10856,,,,,,,case rate,,14764,,,,,,,case rate,,10856,,,,,,,case rate,,10856,,,,,,,case rate,,10856,,,,,,,case rate,,12484,,,,,,,case rate,,11941,,,,,,,case rate,,10530,,,,,,,case rate,,10856,,,,,,,case rate,,10856,,,,,,,case rate,,11181,,,,,,,case rate,,24425,,,,,,,case rate,,10530,24425,
Major depressive disorders & other/unspecified psychoses,751,APR-DRG,,inpatient,,,18451,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18451,,,,,,,case rate,,25093,,,,,,,case rate,,18451,,,,,,,case rate,,18451,,,,,,,case rate,,18451,,,,,,,case rate,,21219,,,,,,,case rate,,20296,,,,,,,case rate,,17898,,,,,,,case rate,,18451,,,,,,,case rate,,18451,,,,,,,case rate,,19005,,,,,,,case rate,,41515,,,,,,,case rate,,17898,41515,
Major depressive disorders & other/unspecified psychoses,751,APR-DRG,,inpatient,,,23722,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23722,,,,,,,case rate,,32261,,,,,,,case rate,,23722,,,,,,,case rate,,23722,,,,,,,case rate,,23722,,,,,,,case rate,,27280,,,,,,,case rate,,26094,,,,,,,case rate,,23010,,,,,,,case rate,,23722,,,,,,,case rate,,23722,,,,,,,case rate,,24433,,,,,,,case rate,,53374,,,,,,,case rate,,23010,53374,
Major esophageal disorders,242,APR-DRG,,inpatient,,,5679,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5679,,,,,,,case rate,,7723,,,,,,,case rate,,5679,,,,,,,case rate,,5679,,,,,,,case rate,,5679,,,,,,,case rate,,6530,,,,,,,case rate,,6246,,,,,,,case rate,,5508,,,,,,,case rate,,5679,,,,,,,case rate,,5679,,,,,,,case rate,,5849,,,,,,,case rate,,12777,,,,,,,case rate,,5508,12777,
Major esophageal disorders,242,APR-DRG,,inpatient,,,8165,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8165,,,,,,,case rate,,11104,,,,,,,case rate,,8165,,,,,,,case rate,,8165,,,,,,,case rate,,8165,,,,,,,case rate,,9390,,,,,,,case rate,,8981,,,,,,,case rate,,7920,,,,,,,case rate,,8165,,,,,,,case rate,,8165,,,,,,,case rate,,8410,,,,,,,case rate,,18371,,,,,,,case rate,,7920,18371,
Major esophageal disorders,242,APR-DRG,,inpatient,,,12830,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12830,,,,,,,case rate,,17449,,,,,,,case rate,,12830,,,,,,,case rate,,12830,,,,,,,case rate,,12830,,,,,,,case rate,,14755,,,,,,,case rate,,14113,,,,,,,case rate,,12445,,,,,,,case rate,,12830,,,,,,,case rate,,12830,,,,,,,case rate,,13215,,,,,,,case rate,,28868,,,,,,,case rate,,12445,28868,
Major esophageal disorders,242,APR-DRG,,inpatient,,,32429,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32429,,,,,,,case rate,,44104,,,,,,,case rate,,32429,,,,,,,case rate,,32429,,,,,,,case rate,,32429,,,,,,,case rate,,37294,,,,,,,case rate,,35672,,,,,,,case rate,,31456,,,,,,,case rate,,32429,,,,,,,case rate,,32429,,,,,,,case rate,,33402,,,,,,,case rate,,72966,,,,,,,case rate,,31456,72966,
Major gastrointestinal & peritoneal infections,248,APR-DRG,,inpatient,,,6116,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6116,,,,,,,case rate,,8318,,,,,,,case rate,,6116,,,,,,,case rate,,6116,,,,,,,case rate,,6116,,,,,,,case rate,,7034,,,,,,,case rate,,6728,,,,,,,case rate,,5933,,,,,,,case rate,,6116,,,,,,,case rate,,6116,,,,,,,case rate,,6300,,,,,,,case rate,,13762,,,,,,,case rate,,5933,13762,
Major gastrointestinal & peritoneal infections,248,APR-DRG,,inpatient,,,8699,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8699,,,,,,,case rate,,11831,,,,,,,case rate,,8699,,,,,,,case rate,,8699,,,,,,,case rate,,8699,,,,,,,case rate,,10004,,,,,,,case rate,,9569,,,,,,,case rate,,8438,,,,,,,case rate,,8699,,,,,,,case rate,,8699,,,,,,,case rate,,8960,,,,,,,case rate,,19573,,,,,,,case rate,,8438,19573,
Major gastrointestinal & peritoneal infections,248,APR-DRG,,inpatient,,,13556,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13556,,,,,,,case rate,,18436,,,,,,,case rate,,13556,,,,,,,case rate,,13556,,,,,,,case rate,,13556,,,,,,,case rate,,15589,,,,,,,case rate,,14911,,,,,,,case rate,,13149,,,,,,,case rate,,13556,,,,,,,case rate,,13556,,,,,,,case rate,,13962,,,,,,,case rate,,30500,,,,,,,case rate,,13149,30500,
Major gastrointestinal & peritoneal infections,248,APR-DRG,,inpatient,,,33265,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33265,,,,,,,case rate,,45240,,,,,,,case rate,,33265,,,,,,,case rate,,33265,,,,,,,case rate,,33265,,,,,,,case rate,,38254,,,,,,,case rate,,36591,,,,,,,case rate,,32267,,,,,,,case rate,,33265,,,,,,,case rate,,33265,,,,,,,case rate,,34263,,,,,,,case rate,,74846,,,,,,,case rate,,32267,74846,
Major hematologic/immunologic diag exc sickle cell crisis & coagul,660,APR-DRG,,inpatient,,,7167,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7167,,,,,,,case rate,,9747,,,,,,,case rate,,7167,,,,,,,case rate,,7167,,,,,,,case rate,,7167,,,,,,,case rate,,8242,,,,,,,case rate,,7884,,,,,,,case rate,,6952,,,,,,,case rate,,7167,,,,,,,case rate,,7167,,,,,,,case rate,,7382,,,,,,,case rate,,16125,,,,,,,case rate,,6952,16125,
Major hematologic/immunologic diag exc sickle cell crisis & coagul,660,APR-DRG,,inpatient,,,9249,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9249,,,,,,,case rate,,12579,,,,,,,case rate,,9249,,,,,,,case rate,,9249,,,,,,,case rate,,9249,,,,,,,case rate,,10637,,,,,,,case rate,,10174,,,,,,,case rate,,8972,,,,,,,case rate,,9249,,,,,,,case rate,,9249,,,,,,,case rate,,9527,,,,,,,case rate,,20811,,,,,,,case rate,,8972,20811,
Major hematologic/immunologic diag exc sickle cell crisis & coagul,660,APR-DRG,,inpatient,,,15640,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15640,,,,,,,case rate,,21270,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,17986,,,,,,,case rate,,17204,,,,,,,case rate,,15171,,,,,,,case rate,,15640,,,,,,,case rate,,15640,,,,,,,case rate,,16109,,,,,,,case rate,,35190,,,,,,,case rate,,15171,35190,
Major hematologic/immunologic diag exc sickle cell crisis & coagul,660,APR-DRG,,inpatient,,,51164,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51164,,,,,,,case rate,,69583,,,,,,,case rate,,51164,,,,,,,case rate,,51164,,,,,,,case rate,,51164,,,,,,,case rate,,58838,,,,,,,case rate,,56280,,,,,,,case rate,,49629,,,,,,,case rate,,51164,,,,,,,case rate,,51164,,,,,,,case rate,,52699,,,,,,,case rate,,115119,,,,,,,case rate,,49629,115119,
Major larynx & trachea procedures,90,APR-DRG,,inpatient,,,7797,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7797,,,,,,,case rate,,10604,,,,,,,case rate,,7797,,,,,,,case rate,,7797,,,,,,,case rate,,7797,,,,,,,case rate,,8966,,,,,,,case rate,,8577,,,,,,,case rate,,7563,,,,,,,case rate,,7797,,,,,,,case rate,,7797,,,,,,,case rate,,8031,,,,,,,case rate,,17543,,,,,,,case rate,,7563,17543,
Major larynx & trachea procedures,90,APR-DRG,,inpatient,,,23353,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23353,,,,,,,case rate,,31760,,,,,,,case rate,,23353,,,,,,,case rate,,23353,,,,,,,case rate,,23353,,,,,,,case rate,,26856,,,,,,,case rate,,25688,,,,,,,case rate,,22652,,,,,,,case rate,,23353,,,,,,,case rate,,23353,,,,,,,case rate,,24053,,,,,,,case rate,,52543,,,,,,,case rate,,22652,52543,
Major larynx & trachea procedures,90,APR-DRG,,inpatient,,,42002,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42002,,,,,,,case rate,,57123,,,,,,,case rate,,42002,,,,,,,case rate,,42002,,,,,,,case rate,,42002,,,,,,,case rate,,48302,,,,,,,case rate,,46202,,,,,,,case rate,,40742,,,,,,,case rate,,42002,,,,,,,case rate,,42002,,,,,,,case rate,,43262,,,,,,,case rate,,94505,,,,,,,case rate,,40742,94505,
Major larynx & trachea procedures,90,APR-DRG,,inpatient,,,115426,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,115426,,,,,,,case rate,,156979,,,,,,,case rate,,115426,,,,,,,case rate,,115426,,,,,,,case rate,,115426,,,,,,,case rate,,132740,,,,,,,case rate,,126969,,,,,,,case rate,,111963,,,,,,,case rate,,115426,,,,,,,case rate,,115426,,,,,,,case rate,,118889,,,,,,,case rate,,259709,,,,,,,case rate,,111963,259709,
Major male pelvic procedures,480,APR-DRG,,inpatient,,,11291,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11291,,,,,,,case rate,,15356,,,,,,,case rate,,11291,,,,,,,case rate,,11291,,,,,,,case rate,,11291,,,,,,,case rate,,12985,,,,,,,case rate,,12421,,,,,,,case rate,,10953,,,,,,,case rate,,11291,,,,,,,case rate,,11291,,,,,,,case rate,,11630,,,,,,,case rate,,25406,,,,,,,case rate,,10953,25406,
Major male pelvic procedures,480,APR-DRG,,inpatient,,,12892,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12892,,,,,,,case rate,,17533,,,,,,,case rate,,12892,,,,,,,case rate,,12892,,,,,,,case rate,,12892,,,,,,,case rate,,14825,,,,,,,case rate,,14181,,,,,,,case rate,,12505,,,,,,,case rate,,12892,,,,,,,case rate,,12892,,,,,,,case rate,,13278,,,,,,,case rate,,29006,,,,,,,case rate,,12505,29006,
Major male pelvic procedures,480,APR-DRG,,inpatient,,,22173,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22173,,,,,,,case rate,,30155,,,,,,,case rate,,22173,,,,,,,case rate,,22173,,,,,,,case rate,,22173,,,,,,,case rate,,25499,,,,,,,case rate,,24390,,,,,,,case rate,,21508,,,,,,,case rate,,22173,,,,,,,case rate,,22173,,,,,,,case rate,,22838,,,,,,,case rate,,49889,,,,,,,case rate,,21508,49889,
Major male pelvic procedures,480,APR-DRG,,inpatient,,,26697,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26697,,,,,,,case rate,,36308,,,,,,,case rate,,26697,,,,,,,case rate,,26697,,,,,,,case rate,,26697,,,,,,,case rate,,30702,,,,,,,case rate,,29367,,,,,,,case rate,,25896,,,,,,,case rate,,26697,,,,,,,case rate,,26697,,,,,,,case rate,,27498,,,,,,,case rate,,60068,,,,,,,case rate,,25896,60068,
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms,680,APR-DRG,,inpatient,,,14225,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14225,,,,,,,case rate,,19346,,,,,,,case rate,,14225,,,,,,,case rate,,14225,,,,,,,case rate,,14225,,,,,,,case rate,,16358,,,,,,,case rate,,15647,,,,,,,case rate,,13798,,,,,,,case rate,,14225,,,,,,,case rate,,14225,,,,,,,case rate,,14651,,,,,,,case rate,,32006,,,,,,,case rate,,13798,32006,
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms,680,APR-DRG,,inpatient,,,22424,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22424,,,,,,,case rate,,30496,,,,,,,case rate,,22424,,,,,,,case rate,,22424,,,,,,,case rate,,22424,,,,,,,case rate,,25787,,,,,,,case rate,,24666,,,,,,,case rate,,21751,,,,,,,case rate,,22424,,,,,,,case rate,,22424,,,,,,,case rate,,23096,,,,,,,case rate,,50453,,,,,,,case rate,,21751,50453,
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms,680,APR-DRG,,inpatient,,,39762,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39762,,,,,,,case rate,,54077,,,,,,,case rate,,39762,,,,,,,case rate,,39762,,,,,,,case rate,,39762,,,,,,,case rate,,45727,,,,,,,case rate,,43739,,,,,,,case rate,,38570,,,,,,,case rate,,39762,,,,,,,case rate,,39762,,,,,,,case rate,,40955,,,,,,,case rate,,89466,,,,,,,case rate,,38570,89466,
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms,680,APR-DRG,,inpatient,,,91950,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,91950,,,,,,,case rate,,125052,,,,,,,case rate,,91950,,,,,,,case rate,,91950,,,,,,,case rate,,91950,,,,,,,case rate,,105743,,,,,,,case rate,,101145,,,,,,,case rate,,89192,,,,,,,case rate,,91950,,,,,,,case rate,,91950,,,,,,,case rate,,94709,,,,,,,case rate,,206888,,,,,,,case rate,,89192,206888,
"Major pancreas, liver & shunt procedures",260,APR-DRG,,inpatient,,,15004,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15004,,,,,,,case rate,,20405,,,,,,,case rate,,15004,,,,,,,case rate,,15004,,,,,,,case rate,,15004,,,,,,,case rate,,17254,,,,,,,case rate,,16504,,,,,,,case rate,,14554,,,,,,,case rate,,15004,,,,,,,case rate,,15004,,,,,,,case rate,,15454,,,,,,,case rate,,33759,,,,,,,case rate,,14554,33759,
"Major pancreas, liver & shunt procedures",260,APR-DRG,,inpatient,,,20477,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20477,,,,,,,case rate,,27849,,,,,,,case rate,,20477,,,,,,,case rate,,20477,,,,,,,case rate,,20477,,,,,,,case rate,,23548,,,,,,,case rate,,22525,,,,,,,case rate,,19863,,,,,,,case rate,,20477,,,,,,,case rate,,20477,,,,,,,case rate,,21091,,,,,,,case rate,,46073,,,,,,,case rate,,19863,46073,
"Major pancreas, liver & shunt procedures",260,APR-DRG,,inpatient,,,32326,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32326,,,,,,,case rate,,43964,,,,,,,case rate,,32326,,,,,,,case rate,,32326,,,,,,,case rate,,32326,,,,,,,case rate,,37175,,,,,,,case rate,,35559,,,,,,,case rate,,31357,,,,,,,case rate,,32326,,,,,,,case rate,,32326,,,,,,,case rate,,33296,,,,,,,case rate,,72734,,,,,,,case rate,,31357,72734,
"Major pancreas, liver & shunt procedures",260,APR-DRG,,inpatient,,,76330,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,76330,,,,,,,case rate,,103808,,,,,,,case rate,,76330,,,,,,,case rate,,76330,,,,,,,case rate,,76330,,,,,,,case rate,,87779,,,,,,,case rate,,83963,,,,,,,case rate,,74040,,,,,,,case rate,,76330,,,,,,,case rate,,76330,,,,,,,case rate,,78619,,,,,,,case rate,,171742,,,,,,,case rate,,74040,171742,
Major respiratory & chest procedures,120,APR-DRG,,inpatient,,,17809,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17809,,,,,,,case rate,,24220,,,,,,,case rate,,17809,,,,,,,case rate,,17809,,,,,,,case rate,,17809,,,,,,,case rate,,20480,,,,,,,case rate,,19590,,,,,,,case rate,,17274,,,,,,,case rate,,17809,,,,,,,case rate,,17809,,,,,,,case rate,,18343,,,,,,,case rate,,40070,,,,,,,case rate,,17274,40070,
Major respiratory & chest procedures,120,APR-DRG,,inpatient,,,21698,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21698,,,,,,,case rate,,29509,,,,,,,case rate,,21698,,,,,,,case rate,,21698,,,,,,,case rate,,21698,,,,,,,case rate,,24953,,,,,,,case rate,,23868,,,,,,,case rate,,21047,,,,,,,case rate,,21698,,,,,,,case rate,,21698,,,,,,,case rate,,22349,,,,,,,case rate,,48820,,,,,,,case rate,,21047,48820,
Major respiratory & chest procedures,120,APR-DRG,,inpatient,,,34578,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34578,,,,,,,case rate,,47026,,,,,,,case rate,,34578,,,,,,,case rate,,34578,,,,,,,case rate,,34578,,,,,,,case rate,,39765,,,,,,,case rate,,38036,,,,,,,case rate,,33541,,,,,,,case rate,,34578,,,,,,,case rate,,34578,,,,,,,case rate,,35616,,,,,,,case rate,,77801,,,,,,,case rate,,33541,77801,
Major respiratory & chest procedures,120,APR-DRG,,inpatient,,,62601,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62601,,,,,,,case rate,,85138,,,,,,,case rate,,62601,,,,,,,case rate,,62601,,,,,,,case rate,,62601,,,,,,,case rate,,71991,,,,,,,case rate,,68861,,,,,,,case rate,,60723,,,,,,,case rate,,62601,,,,,,,case rate,,62601,,,,,,,case rate,,64479,,,,,,,case rate,,140853,,,,,,,case rate,,60723,140853,
Major respiratory infections & inflammations,137,APR-DRG,,inpatient,,,7151,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7151,,,,,,,case rate,,9726,,,,,,,case rate,,7151,,,,,,,case rate,,7151,,,,,,,case rate,,7151,,,,,,,case rate,,8224,,,,,,,case rate,,7867,,,,,,,case rate,,6937,,,,,,,case rate,,7151,,,,,,,case rate,,7151,,,,,,,case rate,,7366,,,,,,,case rate,,16091,,,,,,,case rate,,6937,16091,
Major respiratory infections & inflammations,137,APR-DRG,,inpatient,,,10595,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10595,,,,,,,case rate,,14409,,,,,,,case rate,,10595,,,,,,,case rate,,10595,,,,,,,case rate,,10595,,,,,,,case rate,,12184,,,,,,,case rate,,11654,,,,,,,case rate,,10277,,,,,,,case rate,,10595,,,,,,,case rate,,10595,,,,,,,case rate,,10912,,,,,,,case rate,,23838,,,,,,,case rate,,10277,23838,
Major respiratory infections & inflammations,137,APR-DRG,,inpatient,,,17234,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17234,,,,,,,case rate,,23438,,,,,,,case rate,,17234,,,,,,,case rate,,17234,,,,,,,case rate,,17234,,,,,,,case rate,,19819,,,,,,,case rate,,18958,,,,,,,case rate,,16717,,,,,,,case rate,,17234,,,,,,,case rate,,17234,,,,,,,case rate,,17751,,,,,,,case rate,,38777,,,,,,,case rate,,16717,38777,
Major respiratory infections & inflammations,137,APR-DRG,,inpatient,,,26847,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26847,,,,,,,case rate,,36512,,,,,,,case rate,,26847,,,,,,,case rate,,26847,,,,,,,case rate,,26847,,,,,,,case rate,,30874,,,,,,,case rate,,29532,,,,,,,case rate,,26042,,,,,,,case rate,,26847,,,,,,,case rate,,26847,,,,,,,case rate,,27653,,,,,,,case rate,,60406,,,,,,,case rate,,26042,60406,
Major skin disorders,381,APR-DRG,,inpatient,,,6110,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6110,,,,,,,case rate,,8310,,,,,,,case rate,,6110,,,,,,,case rate,,6110,,,,,,,case rate,,6110,,,,,,,case rate,,7027,,,,,,,case rate,,6721,,,,,,,case rate,,5927,,,,,,,case rate,,6110,,,,,,,case rate,,6110,,,,,,,case rate,,6294,,,,,,,case rate,,13748,,,,,,,case rate,,5927,13748,
Major skin disorders,381,APR-DRG,,inpatient,,,9051,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9051,,,,,,,case rate,,12309,,,,,,,case rate,,9051,,,,,,,case rate,,9051,,,,,,,case rate,,9051,,,,,,,case rate,,10408,,,,,,,case rate,,9956,,,,,,,case rate,,8779,,,,,,,case rate,,9051,,,,,,,case rate,,9051,,,,,,,case rate,,9322,,,,,,,case rate,,20364,,,,,,,case rate,,8779,20364,
Major skin disorders,381,APR-DRG,,inpatient,,,19807,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19807,,,,,,,case rate,,26937,,,,,,,case rate,,19807,,,,,,,case rate,,19807,,,,,,,case rate,,19807,,,,,,,case rate,,22778,,,,,,,case rate,,21787,,,,,,,case rate,,19213,,,,,,,case rate,,19807,,,,,,,case rate,,19807,,,,,,,case rate,,20401,,,,,,,case rate,,44565,,,,,,,case rate,,19213,44565,
Major skin disorders,381,APR-DRG,,inpatient,,,60669,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,60669,,,,,,,case rate,,82510,,,,,,,case rate,,60669,,,,,,,case rate,,60669,,,,,,,case rate,,60669,,,,,,,case rate,,69769,,,,,,,case rate,,66736,,,,,,,case rate,,58849,,,,,,,case rate,,60669,,,,,,,case rate,,60669,,,,,,,case rate,,62489,,,,,,,case rate,,136505,,,,,,,case rate,,58849,136505,
Major small & large bowel procedures,221,APR-DRG,,inpatient,,,15279,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15279,,,,,,,case rate,,20780,,,,,,,case rate,,15279,,,,,,,case rate,,15279,,,,,,,case rate,,15279,,,,,,,case rate,,17571,,,,,,,case rate,,16807,,,,,,,case rate,,14821,,,,,,,case rate,,15279,,,,,,,case rate,,15279,,,,,,,case rate,,15738,,,,,,,case rate,,34378,,,,,,,case rate,,14821,34378,
Major small & large bowel procedures,221,APR-DRG,,inpatient,,,19350,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19350,,,,,,,case rate,,26317,,,,,,,case rate,,19350,,,,,,,case rate,,19350,,,,,,,case rate,,19350,,,,,,,case rate,,22253,,,,,,,case rate,,21285,,,,,,,case rate,,18770,,,,,,,case rate,,19350,,,,,,,case rate,,19350,,,,,,,case rate,,19931,,,,,,,case rate,,43538,,,,,,,case rate,,18770,43538,
Major small & large bowel procedures,221,APR-DRG,,inpatient,,,31876,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31876,,,,,,,case rate,,43352,,,,,,,case rate,,31876,,,,,,,case rate,,31876,,,,,,,case rate,,31876,,,,,,,case rate,,36658,,,,,,,case rate,,35064,,,,,,,case rate,,30920,,,,,,,case rate,,31876,,,,,,,case rate,,31876,,,,,,,case rate,,32832,,,,,,,case rate,,71721,,,,,,,case rate,,30920,71721,
Major small & large bowel procedures,221,APR-DRG,,inpatient,,,67920,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,67920,,,,,,,case rate,,92371,,,,,,,case rate,,67920,,,,,,,case rate,,67920,,,,,,,case rate,,67920,,,,,,,case rate,,78108,,,,,,,case rate,,74712,,,,,,,case rate,,65883,,,,,,,case rate,,67920,,,,,,,case rate,,67920,,,,,,,case rate,,69958,,,,,,,case rate,,152820,,,,,,,case rate,,65883,152820,
"Major stomach, esophageal & duodenal procedures",220,APR-DRG,,inpatient,,,11908,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11908,,,,,,,case rate,,16195,,,,,,,case rate,,11908,,,,,,,case rate,,11908,,,,,,,case rate,,11908,,,,,,,case rate,,13694,,,,,,,case rate,,13099,,,,,,,case rate,,11551,,,,,,,case rate,,11908,,,,,,,case rate,,11908,,,,,,,case rate,,12265,,,,,,,case rate,,26793,,,,,,,case rate,,11551,26793,
"Major stomach, esophageal & duodenal procedures",220,APR-DRG,,inpatient,,,18965,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18965,,,,,,,case rate,,25792,,,,,,,case rate,,18965,,,,,,,case rate,,18965,,,,,,,case rate,,18965,,,,,,,case rate,,21810,,,,,,,case rate,,20861,,,,,,,case rate,,18396,,,,,,,case rate,,18965,,,,,,,case rate,,18965,,,,,,,case rate,,19534,,,,,,,case rate,,42671,,,,,,,case rate,,18396,42671,
"Major stomach, esophageal & duodenal procedures",220,APR-DRG,,inpatient,,,34974,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34974,,,,,,,case rate,,47565,,,,,,,case rate,,34974,,,,,,,case rate,,34974,,,,,,,case rate,,34974,,,,,,,case rate,,40220,,,,,,,case rate,,38471,,,,,,,case rate,,33925,,,,,,,case rate,,34974,,,,,,,case rate,,34974,,,,,,,case rate,,36023,,,,,,,case rate,,78691,,,,,,,case rate,,33925,78691,
"Major stomach, esophageal & duodenal procedures",220,APR-DRG,,inpatient,,,72847,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,72847,,,,,,,case rate,,99072,,,,,,,case rate,,72847,,,,,,,case rate,,72847,,,,,,,case rate,,72847,,,,,,,case rate,,83774,,,,,,,case rate,,80132,,,,,,,case rate,,70662,,,,,,,case rate,,72847,,,,,,,case rate,,72847,,,,,,,case rate,,75033,,,,,,,case rate,,163907,,,,,,,case rate,,70662,163907,
Male reproductive system diagnoses except malignancy,501,APR-DRG,,inpatient,,,4968,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4968,,,,,,,case rate,,6757,,,,,,,case rate,,4968,,,,,,,case rate,,4968,,,,,,,case rate,,4968,,,,,,,case rate,,5714,,,,,,,case rate,,5465,,,,,,,case rate,,4819,,,,,,,case rate,,4968,,,,,,,case rate,,4968,,,,,,,case rate,,5117,,,,,,,case rate,,11179,,,,,,,case rate,,4819,11179,
Male reproductive system diagnoses except malignancy,501,APR-DRG,,inpatient,,,7050,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7050,,,,,,,case rate,,9588,,,,,,,case rate,,7050,,,,,,,case rate,,7050,,,,,,,case rate,,7050,,,,,,,case rate,,8107,,,,,,,case rate,,7755,,,,,,,case rate,,6838,,,,,,,case rate,,7050,,,,,,,case rate,,7050,,,,,,,case rate,,7261,,,,,,,case rate,,15862,,,,,,,case rate,,6838,15862,
Male reproductive system diagnoses except malignancy,501,APR-DRG,,inpatient,,,11539,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11539,,,,,,,case rate,,15693,,,,,,,case rate,,11539,,,,,,,case rate,,11539,,,,,,,case rate,,11539,,,,,,,case rate,,13270,,,,,,,case rate,,12693,,,,,,,case rate,,11193,,,,,,,case rate,,11539,,,,,,,case rate,,11539,,,,,,,case rate,,11885,,,,,,,case rate,,25963,,,,,,,case rate,,11193,25963,
Male reproductive system diagnoses except malignancy,501,APR-DRG,,inpatient,,,21919,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21919,,,,,,,case rate,,29810,,,,,,,case rate,,21919,,,,,,,case rate,,21919,,,,,,,case rate,,21919,,,,,,,case rate,,25207,,,,,,,case rate,,24111,,,,,,,case rate,,21261,,,,,,,case rate,,21919,,,,,,,case rate,,21919,,,,,,,case rate,,22576,,,,,,,case rate,,49317,,,,,,,case rate,,21261,49317,
"Malfunction, reaction & complication of GI device or procedure",252,APR-DRG,,inpatient,,,6262,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6262,,,,,,,case rate,,8517,,,,,,,case rate,,6262,,,,,,,case rate,,6262,,,,,,,case rate,,6262,,,,,,,case rate,,7202,,,,,,,case rate,,6889,,,,,,,case rate,,6075,,,,,,,case rate,,6262,,,,,,,case rate,,6262,,,,,,,case rate,,6450,,,,,,,case rate,,14090,,,,,,,case rate,,6075,14090,
"Malfunction, reaction & complication of GI device or procedure",252,APR-DRG,,inpatient,,,8025,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8025,,,,,,,case rate,,10914,,,,,,,case rate,,8025,,,,,,,case rate,,8025,,,,,,,case rate,,8025,,,,,,,case rate,,9229,,,,,,,case rate,,8828,,,,,,,case rate,,7784,,,,,,,case rate,,8025,,,,,,,case rate,,8025,,,,,,,case rate,,8266,,,,,,,case rate,,18056,,,,,,,case rate,,7784,18056,
"Malfunction, reaction & complication of GI device or procedure",252,APR-DRG,,inpatient,,,12765,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12765,,,,,,,case rate,,17361,,,,,,,case rate,,12765,,,,,,,case rate,,12765,,,,,,,case rate,,12765,,,,,,,case rate,,14680,,,,,,,case rate,,14042,,,,,,,case rate,,12382,,,,,,,case rate,,12765,,,,,,,case rate,,12765,,,,,,,case rate,,13148,,,,,,,case rate,,28722,,,,,,,case rate,,12382,28722,
"Malfunction, reaction & complication of GI device or procedure",252,APR-DRG,,inpatient,,,29130,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29130,,,,,,,case rate,,39617,,,,,,,case rate,,29130,,,,,,,case rate,,29130,,,,,,,case rate,,29130,,,,,,,case rate,,33499,,,,,,,case rate,,32043,,,,,,,case rate,,28256,,,,,,,case rate,,29130,,,,,,,case rate,,29130,,,,,,,case rate,,30004,,,,,,,case rate,,65542,,,,,,,case rate,,28256,65542,
"Malfunction, reaction, complic of genitourinary device or proc",466,APR-DRG,,inpatient,,,5163,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5163,,,,,,,case rate,,7021,,,,,,,case rate,,5163,,,,,,,case rate,,5163,,,,,,,case rate,,5163,,,,,,,case rate,,5937,,,,,,,case rate,,5679,,,,,,,case rate,,5008,,,,,,,case rate,,5163,,,,,,,case rate,,5163,,,,,,,case rate,,5318,,,,,,,case rate,,11616,,,,,,,case rate,,5008,11616,
"Malfunction, reaction, complic of genitourinary device or proc",466,APR-DRG,,inpatient,,,7173,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7173,,,,,,,case rate,,9755,,,,,,,case rate,,7173,,,,,,,case rate,,7173,,,,,,,case rate,,7173,,,,,,,case rate,,8249,,,,,,,case rate,,7890,,,,,,,case rate,,6958,,,,,,,case rate,,7173,,,,,,,case rate,,7173,,,,,,,case rate,,7388,,,,,,,case rate,,16139,,,,,,,case rate,,6958,16139,
"Malfunction, reaction, complic of genitourinary device or proc",466,APR-DRG,,inpatient,,,11958,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11958,,,,,,,case rate,,16263,,,,,,,case rate,,11958,,,,,,,case rate,,11958,,,,,,,case rate,,11958,,,,,,,case rate,,13752,,,,,,,case rate,,13154,,,,,,,case rate,,11600,,,,,,,case rate,,11958,,,,,,,case rate,,11958,,,,,,,case rate,,12317,,,,,,,case rate,,26907,,,,,,,case rate,,11600,26907,
"Malfunction, reaction, complic of genitourinary device or proc",466,APR-DRG,,inpatient,,,23924,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23924,,,,,,,case rate,,32537,,,,,,,case rate,,23924,,,,,,,case rate,,23924,,,,,,,case rate,,23924,,,,,,,case rate,,27513,,,,,,,case rate,,26317,,,,,,,case rate,,23206,,,,,,,case rate,,23924,,,,,,,case rate,,23924,,,,,,,case rate,,24642,,,,,,,case rate,,53829,,,,,,,case rate,,23206,53829,
"Malfunction, reaction, complic of orthopedic device or procedure",349,APR-DRG,,inpatient,,,5590,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5590,,,,,,,case rate,,7603,,,,,,,case rate,,5590,,,,,,,case rate,,5590,,,,,,,case rate,,5590,,,,,,,case rate,,6429,,,,,,,case rate,,6149,,,,,,,case rate,,5422,,,,,,,case rate,,5590,,,,,,,case rate,,5590,,,,,,,case rate,,5758,,,,,,,case rate,,12578,,,,,,,case rate,,5422,12578,
"Malfunction, reaction, complic of orthopedic device or procedure",349,APR-DRG,,inpatient,,,9036,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9036,,,,,,,case rate,,12290,,,,,,,case rate,,9036,,,,,,,case rate,,9036,,,,,,,case rate,,9036,,,,,,,case rate,,10392,,,,,,,case rate,,9940,,,,,,,case rate,,8765,,,,,,,case rate,,9036,,,,,,,case rate,,9036,,,,,,,case rate,,9308,,,,,,,case rate,,20332,,,,,,,case rate,,8765,20332,
"Malfunction, reaction, complic of orthopedic device or procedure",349,APR-DRG,,inpatient,,,16013,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16013,,,,,,,case rate,,21778,,,,,,,case rate,,16013,,,,,,,case rate,,16013,,,,,,,case rate,,16013,,,,,,,case rate,,18415,,,,,,,case rate,,17614,,,,,,,case rate,,15533,,,,,,,case rate,,16013,,,,,,,case rate,,16013,,,,,,,case rate,,16494,,,,,,,case rate,,36030,,,,,,,case rate,,15533,36030,
"Malfunction, reaction, complic of orthopedic device or procedure",349,APR-DRG,,inpatient,,,36707,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36707,,,,,,,case rate,,49921,,,,,,,case rate,,36707,,,,,,,case rate,,36707,,,,,,,case rate,,36707,,,,,,,case rate,,42213,,,,,,,case rate,,40378,,,,,,,case rate,,35606,,,,,,,case rate,,36707,,,,,,,case rate,,36707,,,,,,,case rate,,37808,,,,,,,case rate,,82590,,,,,,,case rate,,35606,82590,
"Malfunction,reaction,complication of cardiac/vasc device or procedure",206,APR-DRG,,inpatient,,,5651,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5651,,,,,,,case rate,,7685,,,,,,,case rate,,5651,,,,,,,case rate,,5651,,,,,,,case rate,,5651,,,,,,,case rate,,6498,,,,,,,case rate,,6216,,,,,,,case rate,,5481,,,,,,,case rate,,5651,,,,,,,case rate,,5651,,,,,,,case rate,,5820,,,,,,,case rate,,12714,,,,,,,case rate,,5481,12714,
"Malfunction,reaction,complication of cardiac/vasc device or procedure",206,APR-DRG,,inpatient,,,7479,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7479,,,,,,,case rate,,10172,,,,,,,case rate,,7479,,,,,,,case rate,,7479,,,,,,,case rate,,7479,,,,,,,case rate,,8601,,,,,,,case rate,,8227,,,,,,,case rate,,7255,,,,,,,case rate,,7479,,,,,,,case rate,,7479,,,,,,,case rate,,7704,,,,,,,case rate,,16828,,,,,,,case rate,,7255,16828,
"Malfunction,reaction,complication of cardiac/vasc device or procedure",206,APR-DRG,,inpatient,,,12788,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12788,,,,,,,case rate,,17392,,,,,,,case rate,,12788,,,,,,,case rate,,12788,,,,,,,case rate,,12788,,,,,,,case rate,,14706,,,,,,,case rate,,14067,,,,,,,case rate,,12404,,,,,,,case rate,,12788,,,,,,,case rate,,12788,,,,,,,case rate,,13172,,,,,,,case rate,,28773,,,,,,,case rate,,12404,28773,
"Malfunction,reaction,complication of cardiac/vasc device or procedure",206,APR-DRG,,inpatient,,,34991,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34991,,,,,,,case rate,,47588,,,,,,,case rate,,34991,,,,,,,case rate,,34991,,,,,,,case rate,,34991,,,,,,,case rate,,40240,,,,,,,case rate,,38491,,,,,,,case rate,,33942,,,,,,,case rate,,34991,,,,,,,case rate,,34991,,,,,,,case rate,,36041,,,,,,,case rate,,78731,,,,,,,case rate,,33942,78731,
Malignancy of hepatobiliary system & pancreas,281,APR-DRG,,inpatient,,,6856,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6856,,,,,,,case rate,,9325,,,,,,,case rate,,6856,,,,,,,case rate,,6856,,,,,,,case rate,,6856,,,,,,,case rate,,7885,,,,,,,case rate,,7542,,,,,,,case rate,,6651,,,,,,,case rate,,6856,,,,,,,case rate,,6856,,,,,,,case rate,,7062,,,,,,,case rate,,15427,,,,,,,case rate,,6651,15427,
Malignancy of hepatobiliary system & pancreas,281,APR-DRG,,inpatient,,,9663,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9663,,,,,,,case rate,,13142,,,,,,,case rate,,9663,,,,,,,case rate,,9663,,,,,,,case rate,,9663,,,,,,,case rate,,11113,,,,,,,case rate,,10630,,,,,,,case rate,,9373,,,,,,,case rate,,9663,,,,,,,case rate,,9663,,,,,,,case rate,,9953,,,,,,,case rate,,21743,,,,,,,case rate,,9373,21743,
Malignancy of hepatobiliary system & pancreas,281,APR-DRG,,inpatient,,,14164,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14164,,,,,,,case rate,,19263,,,,,,,case rate,,14164,,,,,,,case rate,,14164,,,,,,,case rate,,14164,,,,,,,case rate,,16289,,,,,,,case rate,,15581,,,,,,,case rate,,13739,,,,,,,case rate,,14164,,,,,,,case rate,,14164,,,,,,,case rate,,14589,,,,,,,case rate,,31869,,,,,,,case rate,,13739,31869,
Malignancy of hepatobiliary system & pancreas,281,APR-DRG,,inpatient,,,24857,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24857,,,,,,,case rate,,33806,,,,,,,case rate,,24857,,,,,,,case rate,,24857,,,,,,,case rate,,24857,,,,,,,case rate,,28586,,,,,,,case rate,,27343,,,,,,,case rate,,24112,,,,,,,case rate,,24857,,,,,,,case rate,,24857,,,,,,,case rate,,25603,,,,,,,case rate,,55929,,,,,,,case rate,,24112,55929,
"Malignancy, male reproductive system",500,APR-DRG,,inpatient,,,4336,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4336,,,,,,,case rate,,5897,,,,,,,case rate,,4336,,,,,,,case rate,,4336,,,,,,,case rate,,4336,,,,,,,case rate,,4987,,,,,,,case rate,,4770,,,,,,,case rate,,4206,,,,,,,case rate,,4336,,,,,,,case rate,,4336,,,,,,,case rate,,4466,,,,,,,case rate,,9757,,,,,,,case rate,,4206,9757,
"Malignancy, male reproductive system",500,APR-DRG,,inpatient,,,9689,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9689,,,,,,,case rate,,13177,,,,,,,case rate,,9689,,,,,,,case rate,,9689,,,,,,,case rate,,9689,,,,,,,case rate,,11142,,,,,,,case rate,,10658,,,,,,,case rate,,9398,,,,,,,case rate,,9689,,,,,,,case rate,,9689,,,,,,,case rate,,9980,,,,,,,case rate,,21800,,,,,,,case rate,,9398,21800,
"Malignancy, male reproductive system",500,APR-DRG,,inpatient,,,16236,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16236,,,,,,,case rate,,22081,,,,,,,case rate,,16236,,,,,,,case rate,,16236,,,,,,,case rate,,16236,,,,,,,case rate,,18672,,,,,,,case rate,,17860,,,,,,,case rate,,15749,,,,,,,case rate,,16236,,,,,,,case rate,,16236,,,,,,,case rate,,16723,,,,,,,case rate,,36531,,,,,,,case rate,,15749,36531,
"Malignancy, male reproductive system",500,APR-DRG,,inpatient,,,18930,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18930,,,,,,,case rate,,25745,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,21770,,,,,,,case rate,,20823,,,,,,,case rate,,18362,,,,,,,case rate,,18930,,,,,,,case rate,,18930,,,,,,,case rate,,19498,,,,,,,case rate,,42593,,,,,,,case rate,,18362,42593,
Malignant breast disorders,382,APR-DRG,,inpatient,,,6398,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6398,,,,,,,case rate,,8701,,,,,,,case rate,,6398,,,,,,,case rate,,6398,,,,,,,case rate,,6398,,,,,,,case rate,,7358,,,,,,,case rate,,7038,,,,,,,case rate,,6206,,,,,,,case rate,,6398,,,,,,,case rate,,6398,,,,,,,case rate,,6590,,,,,,,case rate,,14396,,,,,,,case rate,,6206,14396,
Malignant breast disorders,382,APR-DRG,,inpatient,,,8566,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8566,,,,,,,case rate,,11649,,,,,,,case rate,,8566,,,,,,,case rate,,8566,,,,,,,case rate,,8566,,,,,,,case rate,,9851,,,,,,,case rate,,9422,,,,,,,case rate,,8309,,,,,,,case rate,,8566,,,,,,,case rate,,8566,,,,,,,case rate,,8823,,,,,,,case rate,,19273,,,,,,,case rate,,8309,19273,
Malignant breast disorders,382,APR-DRG,,inpatient,,,15480,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15480,,,,,,,case rate,,21052,,,,,,,case rate,,15480,,,,,,,case rate,,15480,,,,,,,case rate,,15480,,,,,,,case rate,,17802,,,,,,,case rate,,17028,,,,,,,case rate,,15015,,,,,,,case rate,,15480,,,,,,,case rate,,15480,,,,,,,case rate,,15944,,,,,,,case rate,,34829,,,,,,,case rate,,15015,34829,
Malignant breast disorders,382,APR-DRG,,inpatient,,,29741,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29741,,,,,,,case rate,,40448,,,,,,,case rate,,29741,,,,,,,case rate,,29741,,,,,,,case rate,,29741,,,,,,,case rate,,34203,,,,,,,case rate,,32716,,,,,,,case rate,,28849,,,,,,,case rate,,29741,,,,,,,case rate,,29741,,,,,,,case rate,,30634,,,,,,,case rate,,66918,,,,,,,case rate,,28849,66918,
"Malnutrition, failure to thrive & other nutritional disorders",421,APR-DRG,,inpatient,,,6424,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6424,,,,,,,case rate,,8736,,,,,,,case rate,,6424,,,,,,,case rate,,6424,,,,,,,case rate,,6424,,,,,,,case rate,,7387,,,,,,,case rate,,7066,,,,,,,case rate,,6231,,,,,,,case rate,,6424,,,,,,,case rate,,6424,,,,,,,case rate,,6616,,,,,,,case rate,,14453,,,,,,,case rate,,6231,14453,
"Malnutrition, failure to thrive & other nutritional disorders",421,APR-DRG,,inpatient,,,9387,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9387,,,,,,,case rate,,12766,,,,,,,case rate,,9387,,,,,,,case rate,,9387,,,,,,,case rate,,9387,,,,,,,case rate,,10795,,,,,,,case rate,,10326,,,,,,,case rate,,9105,,,,,,,case rate,,9387,,,,,,,case rate,,9387,,,,,,,case rate,,9669,,,,,,,case rate,,21121,,,,,,,case rate,,9105,21121,
"Malnutrition, failure to thrive & other nutritional disorders",421,APR-DRG,,inpatient,,,14262,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14262,,,,,,,case rate,,19396,,,,,,,case rate,,14262,,,,,,,case rate,,14262,,,,,,,case rate,,14262,,,,,,,case rate,,16401,,,,,,,case rate,,15688,,,,,,,case rate,,13834,,,,,,,case rate,,14262,,,,,,,case rate,,14262,,,,,,,case rate,,14690,,,,,,,case rate,,32089,,,,,,,case rate,,13834,32089,
"Malnutrition, failure to thrive & other nutritional disorders",421,APR-DRG,,inpatient,,,32903,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32903,,,,,,,case rate,,44748,,,,,,,case rate,,32903,,,,,,,case rate,,32903,,,,,,,case rate,,32903,,,,,,,case rate,,37838,,,,,,,case rate,,36193,,,,,,,case rate,,31916,,,,,,,case rate,,32903,,,,,,,case rate,,32903,,,,,,,case rate,,33890,,,,,,,case rate,,74032,,,,,,,case rate,,31916,74032,
Mastectomy procedures,362,APR-DRG,,inpatient,,,14016,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14016,,,,,,,case rate,,19062,,,,,,,case rate,,14016,,,,,,,case rate,,14016,,,,,,,case rate,,14016,,,,,,,case rate,,16119,,,,,,,case rate,,15418,,,,,,,case rate,,13596,,,,,,,case rate,,14016,,,,,,,case rate,,14016,,,,,,,case rate,,14437,,,,,,,case rate,,31536,,,,,,,case rate,,13596,31536,
Mastectomy procedures,362,APR-DRG,,inpatient,,,18555,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18555,,,,,,,case rate,,25235,,,,,,,case rate,,18555,,,,,,,case rate,,18555,,,,,,,case rate,,18555,,,,,,,case rate,,21338,,,,,,,case rate,,20410,,,,,,,case rate,,17998,,,,,,,case rate,,18555,,,,,,,case rate,,18555,,,,,,,case rate,,19112,,,,,,,case rate,,41748,,,,,,,case rate,,17998,41748,
Mastectomy procedures,362,APR-DRG,,inpatient,,,28555,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28555,,,,,,,case rate,,38835,,,,,,,case rate,,28555,,,,,,,case rate,,28555,,,,,,,case rate,,28555,,,,,,,case rate,,32839,,,,,,,case rate,,31411,,,,,,,case rate,,27699,,,,,,,case rate,,28555,,,,,,,case rate,,28555,,,,,,,case rate,,29412,,,,,,,case rate,,64250,,,,,,,case rate,,27699,64250,
Mastectomy procedures,362,APR-DRG,,inpatient,,,29844,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29844,,,,,,,case rate,,40588,,,,,,,case rate,,29844,,,,,,,case rate,,29844,,,,,,,case rate,,29844,,,,,,,case rate,,34321,,,,,,,case rate,,32829,,,,,,,case rate,,28949,,,,,,,case rate,,29844,,,,,,,case rate,,29844,,,,,,,case rate,,30740,,,,,,,case rate,,67150,,,,,,,case rate,,28949,67150,
Menstrual & other female reproductive system disorders,532,APR-DRG,,inpatient,,,4149,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4149,,,,,,,case rate,,5643,,,,,,,case rate,,4149,,,,,,,case rate,,4149,,,,,,,case rate,,4149,,,,,,,case rate,,4772,,,,,,,case rate,,4564,,,,,,,case rate,,4025,,,,,,,case rate,,4149,,,,,,,case rate,,4149,,,,,,,case rate,,4274,,,,,,,case rate,,9336,,,,,,,case rate,,4025,9336,
Menstrual & other female reproductive system disorders,532,APR-DRG,,inpatient,,,5742,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5742,,,,,,,case rate,,7810,,,,,,,case rate,,5742,,,,,,,case rate,,5742,,,,,,,case rate,,5742,,,,,,,case rate,,6604,,,,,,,case rate,,6317,,,,,,,case rate,,5570,,,,,,,case rate,,5742,,,,,,,case rate,,5742,,,,,,,case rate,,5915,,,,,,,case rate,,12920,,,,,,,case rate,,5570,12920,
Menstrual & other female reproductive system disorders,532,APR-DRG,,inpatient,,,9977,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9977,,,,,,,case rate,,13569,,,,,,,case rate,,9977,,,,,,,case rate,,9977,,,,,,,case rate,,9977,,,,,,,case rate,,11473,,,,,,,case rate,,10975,,,,,,,case rate,,9678,,,,,,,case rate,,9977,,,,,,,case rate,,9977,,,,,,,case rate,,10276,,,,,,,case rate,,22448,,,,,,,case rate,,9678,22448,
Menstrual & other female reproductive system disorders,532,APR-DRG,,inpatient,,,10574,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10574,,,,,,,case rate,,14381,,,,,,,case rate,,10574,,,,,,,case rate,,10574,,,,,,,case rate,,10574,,,,,,,case rate,,12160,,,,,,,case rate,,11631,,,,,,,case rate,,10257,,,,,,,case rate,,10574,,,,,,,case rate,,10574,,,,,,,case rate,,10891,,,,,,,case rate,,23792,,,,,,,case rate,,10257,23792,
Mental illness diagnosis w O.R. procedure,740,APR-DRG,,inpatient,,,31101,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31101,,,,,,,case rate,,42298,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,35766,,,,,,,case rate,,34211,,,,,,,case rate,,30168,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,32034,,,,,,,case rate,,69978,,,,,,,case rate,,30168,69978,
Mental illness diagnosis w O.R. procedure,740,APR-DRG,,inpatient,,,31101,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31101,,,,,,,case rate,,42298,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,35766,,,,,,,case rate,,34211,,,,,,,case rate,,30168,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,32034,,,,,,,case rate,,69978,,,,,,,case rate,,30168,69978,
Mental illness diagnosis w O.R. procedure,740,APR-DRG,,inpatient,,,31101,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31101,,,,,,,case rate,,42298,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,35766,,,,,,,case rate,,34211,,,,,,,case rate,,30168,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,32034,,,,,,,case rate,,69978,,,,,,,case rate,,30168,69978,
Mental illness diagnosis w O.R. procedure,740,APR-DRG,,inpatient,,,31101,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31101,,,,,,,case rate,,42298,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,35766,,,,,,,case rate,,34211,,,,,,,case rate,,30168,,,,,,,case rate,,31101,,,,,,,case rate,,31101,,,,,,,case rate,,32034,,,,,,,case rate,,69978,,,,,,,case rate,,30168,69978,
Migraine & other headaches,54,APR-DRG,,inpatient,,,5058,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5058,,,,,,,case rate,,6879,,,,,,,case rate,,5058,,,,,,,case rate,,5058,,,,,,,case rate,,5058,,,,,,,case rate,,5816,,,,,,,case rate,,5564,,,,,,,case rate,,4906,,,,,,,case rate,,5058,,,,,,,case rate,,5058,,,,,,,case rate,,5210,,,,,,,case rate,,11380,,,,,,,case rate,,4906,11380,
Migraine & other headaches,54,APR-DRG,,inpatient,,,6292,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6292,,,,,,,case rate,,8557,,,,,,,case rate,,6292,,,,,,,case rate,,6292,,,,,,,case rate,,6292,,,,,,,case rate,,7236,,,,,,,case rate,,6921,,,,,,,case rate,,6103,,,,,,,case rate,,6292,,,,,,,case rate,,6292,,,,,,,case rate,,6481,,,,,,,case rate,,14157,,,,,,,case rate,,6103,14157,
Migraine & other headaches,54,APR-DRG,,inpatient,,,8119,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8119,,,,,,,case rate,,11041,,,,,,,case rate,,8119,,,,,,,case rate,,8119,,,,,,,case rate,,8119,,,,,,,case rate,,9336,,,,,,,case rate,,8930,,,,,,,case rate,,7875,,,,,,,case rate,,8119,,,,,,,case rate,,8119,,,,,,,case rate,,8362,,,,,,,case rate,,18267,,,,,,,case rate,,7875,18267,
Migraine & other headaches,54,APR-DRG,,inpatient,,,8268,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8268,,,,,,,case rate,,11244,,,,,,,case rate,,8268,,,,,,,case rate,,8268,,,,,,,case rate,,8268,,,,,,,case rate,,9508,,,,,,,case rate,,9094,,,,,,,case rate,,8020,,,,,,,case rate,,8268,,,,,,,case rate,,8268,,,,,,,case rate,,8516,,,,,,,case rate,,18602,,,,,,,case rate,,8020,18602,
Moderately extensive procedure unrelated to principal diagnosis,951,APR-DRG,,inpatient,,,9467,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9467,,,,,,,case rate,,12875,,,,,,,case rate,,9467,,,,,,,case rate,,9467,,,,,,,case rate,,9467,,,,,,,case rate,,10887,,,,,,,case rate,,10414,,,,,,,case rate,,9183,,,,,,,case rate,,9467,,,,,,,case rate,,9467,,,,,,,case rate,,9751,,,,,,,case rate,,21301,,,,,,,case rate,,9183,21301,
Moderately extensive procedure unrelated to principal diagnosis,951,APR-DRG,,inpatient,,,14293,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14293,,,,,,,case rate,,19438,,,,,,,case rate,,14293,,,,,,,case rate,,14293,,,,,,,case rate,,14293,,,,,,,case rate,,16436,,,,,,,case rate,,15722,,,,,,,case rate,,13864,,,,,,,case rate,,14293,,,,,,,case rate,,14293,,,,,,,case rate,,14721,,,,,,,case rate,,32158,,,,,,,case rate,,13864,32158,
Moderately extensive procedure unrelated to principal diagnosis,951,APR-DRG,,inpatient,,,27872,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27872,,,,,,,case rate,,37906,,,,,,,case rate,,27872,,,,,,,case rate,,27872,,,,,,,case rate,,27872,,,,,,,case rate,,32053,,,,,,,case rate,,30659,,,,,,,case rate,,27036,,,,,,,case rate,,27872,,,,,,,case rate,,27872,,,,,,,case rate,,28708,,,,,,,case rate,,62712,,,,,,,case rate,,27036,62712,
Moderately extensive procedure unrelated to principal diagnosis,951,APR-DRG,,inpatient,,,64495,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64495,,,,,,,case rate,,87714,,,,,,,case rate,,64495,,,,,,,case rate,,64495,,,,,,,case rate,,64495,,,,,,,case rate,,74170,,,,,,,case rate,,70945,,,,,,,case rate,,62561,,,,,,,case rate,,64495,,,,,,,case rate,,64495,,,,,,,case rate,,66430,,,,,,,case rate,,145115,,,,,,,case rate,,62561,145115,
Multiple sclerosis & other demyelinating diseases,43,APR-DRG,,inpatient,,,8057,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8057,,,,,,,case rate,,10957,,,,,,,case rate,,8057,,,,,,,case rate,,8057,,,,,,,case rate,,8057,,,,,,,case rate,,9265,,,,,,,case rate,,8863,,,,,,,case rate,,7815,,,,,,,case rate,,8057,,,,,,,case rate,,8057,,,,,,,case rate,,8299,,,,,,,case rate,,18128,,,,,,,case rate,,7815,18128,
Multiple sclerosis & other demyelinating diseases,43,APR-DRG,,inpatient,,,11047,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11047,,,,,,,case rate,,15024,,,,,,,case rate,,11047,,,,,,,case rate,,11047,,,,,,,case rate,,11047,,,,,,,case rate,,12704,,,,,,,case rate,,12151,,,,,,,case rate,,10715,,,,,,,case rate,,11047,,,,,,,case rate,,11047,,,,,,,case rate,,11378,,,,,,,case rate,,24855,,,,,,,case rate,,10715,24855,
Multiple sclerosis & other demyelinating diseases,43,APR-DRG,,inpatient,,,23209,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23209,,,,,,,case rate,,31564,,,,,,,case rate,,23209,,,,,,,case rate,,23209,,,,,,,case rate,,23209,,,,,,,case rate,,26690,,,,,,,case rate,,25530,,,,,,,case rate,,22512,,,,,,,case rate,,23209,,,,,,,case rate,,23209,,,,,,,case rate,,23905,,,,,,,case rate,,52220,,,,,,,case rate,,22512,52220,
Multiple sclerosis & other demyelinating diseases,43,APR-DRG,,inpatient,,,60822,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,60822,,,,,,,case rate,,82718,,,,,,,case rate,,60822,,,,,,,case rate,,60822,,,,,,,case rate,,60822,,,,,,,case rate,,69945,,,,,,,case rate,,66904,,,,,,,case rate,,58997,,,,,,,case rate,,60822,,,,,,,case rate,,60822,,,,,,,case rate,,62647,,,,,,,case rate,,136850,,,,,,,case rate,,58997,136850,
Multiple significant trauma w/o O.R. procedure,930,APR-DRG,,inpatient,,,9064,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9064,,,,,,,case rate,,12327,,,,,,,case rate,,9064,,,,,,,case rate,,9064,,,,,,,case rate,,9064,,,,,,,case rate,,10424,,,,,,,case rate,,9971,,,,,,,case rate,,8792,,,,,,,case rate,,9064,,,,,,,case rate,,9064,,,,,,,case rate,,9336,,,,,,,case rate,,20394,,,,,,,case rate,,8792,20394,
Multiple significant trauma w/o O.R. procedure,930,APR-DRG,,inpatient,,,9111,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9111,,,,,,,case rate,,12392,,,,,,,case rate,,9111,,,,,,,case rate,,9111,,,,,,,case rate,,9111,,,,,,,case rate,,10478,,,,,,,case rate,,10023,,,,,,,case rate,,8838,,,,,,,case rate,,9111,,,,,,,case rate,,9111,,,,,,,case rate,,9385,,,,,,,case rate,,20501,,,,,,,case rate,,8838,20501,
Multiple significant trauma w/o O.R. procedure,930,APR-DRG,,inpatient,,,16267,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16267,,,,,,,case rate,,22123,,,,,,,case rate,,16267,,,,,,,case rate,,16267,,,,,,,case rate,,16267,,,,,,,case rate,,18707,,,,,,,case rate,,17894,,,,,,,case rate,,15779,,,,,,,case rate,,16267,,,,,,,case rate,,16267,,,,,,,case rate,,16755,,,,,,,case rate,,36601,,,,,,,case rate,,15779,36601,
Multiple significant trauma w/o O.R. procedure,930,APR-DRG,,inpatient,,,37556,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37556,,,,,,,case rate,,51076,,,,,,,case rate,,37556,,,,,,,case rate,,37556,,,,,,,case rate,,37556,,,,,,,case rate,,43189,,,,,,,case rate,,41311,,,,,,,case rate,,36429,,,,,,,case rate,,37556,,,,,,,case rate,,37556,,,,,,,case rate,,38682,,,,,,,case rate,,84501,,,,,,,case rate,,36429,84501,
Musculoskeletal & other procedures for multiple significant trauma,912,APR-DRG,,inpatient,,,24297,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24297,,,,,,,case rate,,33044,,,,,,,case rate,,24297,,,,,,,case rate,,24297,,,,,,,case rate,,24297,,,,,,,case rate,,27942,,,,,,,case rate,,26727,,,,,,,case rate,,23568,,,,,,,case rate,,24297,,,,,,,case rate,,24297,,,,,,,case rate,,25026,,,,,,,case rate,,54669,,,,,,,case rate,,23568,54669,
Musculoskeletal & other procedures for multiple significant trauma,912,APR-DRG,,inpatient,,,24316,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24316,,,,,,,case rate,,33069,,,,,,,case rate,,24316,,,,,,,case rate,,24316,,,,,,,case rate,,24316,,,,,,,case rate,,27963,,,,,,,case rate,,26747,,,,,,,case rate,,23586,,,,,,,case rate,,24316,,,,,,,case rate,,24316,,,,,,,case rate,,25045,,,,,,,case rate,,54710,,,,,,,case rate,,23586,54710,
Musculoskeletal & other procedures for multiple significant trauma,912,APR-DRG,,inpatient,,,40449,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40449,,,,,,,case rate,,55011,,,,,,,case rate,,40449,,,,,,,case rate,,40449,,,,,,,case rate,,40449,,,,,,,case rate,,46516,,,,,,,case rate,,44494,,,,,,,case rate,,39236,,,,,,,case rate,,40449,,,,,,,case rate,,40449,,,,,,,case rate,,41663,,,,,,,case rate,,91010,,,,,,,case rate,,39236,91010,
Musculoskeletal & other procedures for multiple significant trauma,912,APR-DRG,,inpatient,,,77872,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,77872,,,,,,,case rate,,105906,,,,,,,case rate,,77872,,,,,,,case rate,,77872,,,,,,,case rate,,77872,,,,,,,case rate,,89553,,,,,,,case rate,,85660,,,,,,,case rate,,75536,,,,,,,case rate,,77872,,,,,,,case rate,,77872,,,,,,,case rate,,80208,,,,,,,case rate,,175213,,,,,,,case rate,,75536,175213,
Musculoskeletal malignancy & pathol fracture d/t muscskel malig,343,APR-DRG,,inpatient,,,8528,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8528,,,,,,,case rate,,11598,,,,,,,case rate,,8528,,,,,,,case rate,,8528,,,,,,,case rate,,8528,,,,,,,case rate,,9807,,,,,,,case rate,,9380,,,,,,,case rate,,8272,,,,,,,case rate,,8528,,,,,,,case rate,,8528,,,,,,,case rate,,8783,,,,,,,case rate,,19187,,,,,,,case rate,,8272,19187,
Musculoskeletal malignancy & pathol fracture d/t muscskel malig,343,APR-DRG,,inpatient,,,10253,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10253,,,,,,,case rate,,13945,,,,,,,case rate,,10253,,,,,,,case rate,,10253,,,,,,,case rate,,10253,,,,,,,case rate,,11791,,,,,,,case rate,,11279,,,,,,,case rate,,9946,,,,,,,case rate,,10253,,,,,,,case rate,,10253,,,,,,,case rate,,10561,,,,,,,case rate,,23070,,,,,,,case rate,,9946,23070,
Musculoskeletal malignancy & pathol fracture d/t muscskel malig,343,APR-DRG,,inpatient,,,22063,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22063,,,,,,,case rate,,30005,,,,,,,case rate,,22063,,,,,,,case rate,,22063,,,,,,,case rate,,22063,,,,,,,case rate,,25372,,,,,,,case rate,,24269,,,,,,,case rate,,21401,,,,,,,case rate,,22063,,,,,,,case rate,,22063,,,,,,,case rate,,22725,,,,,,,case rate,,49641,,,,,,,case rate,,21401,49641,
Musculoskeletal malignancy & pathol fracture d/t muscskel malig,343,APR-DRG,,inpatient,,,39589,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39589,,,,,,,case rate,,53841,,,,,,,case rate,,39589,,,,,,,case rate,,39589,,,,,,,case rate,,39589,,,,,,,case rate,,45527,,,,,,,case rate,,43548,,,,,,,case rate,,38401,,,,,,,case rate,,39589,,,,,,,case rate,,39589,,,,,,,case rate,,40776,,,,,,,case rate,,89075,,,,,,,case rate,,38401,89075,
Neonatal aftercare,863,APR-DRG,,inpatient,,,9358,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9358,,,,,,,case rate,,12727,,,,,,,case rate,,9358,,,,,,,case rate,,9358,,,,,,,case rate,,9358,,,,,,,case rate,,10762,,,,,,,case rate,,10294,,,,,,,case rate,,9077,,,,,,,case rate,,9358,,,,,,,case rate,,9358,,,,,,,case rate,,9639,,,,,,,case rate,,21056,,,,,,,case rate,,9077,21056,
Neonatal aftercare,863,APR-DRG,,inpatient,,,22501,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22501,,,,,,,case rate,,30601,,,,,,,case rate,,22501,,,,,,,case rate,,22501,,,,,,,case rate,,22501,,,,,,,case rate,,25876,,,,,,,case rate,,24751,,,,,,,case rate,,21826,,,,,,,case rate,,22501,,,,,,,case rate,,22501,,,,,,,case rate,,23176,,,,,,,case rate,,50626,,,,,,,case rate,,21826,50626,
Neonatal aftercare,863,APR-DRG,,inpatient,,,42669,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42669,,,,,,,case rate,,58030,,,,,,,case rate,,42669,,,,,,,case rate,,42669,,,,,,,case rate,,42669,,,,,,,case rate,,49069,,,,,,,case rate,,46936,,,,,,,case rate,,41389,,,,,,,case rate,,42669,,,,,,,case rate,,42669,,,,,,,case rate,,43949,,,,,,,case rate,,96006,,,,,,,case rate,,41389,96006,
Neonatal aftercare,863,APR-DRG,,inpatient,,,54463,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,54463,,,,,,,case rate,,74070,,,,,,,case rate,,54463,,,,,,,case rate,,54463,,,,,,,case rate,,54463,,,,,,,case rate,,62633,,,,,,,case rate,,59909,,,,,,,case rate,,52829,,,,,,,case rate,,54463,,,,,,,case rate,,54463,,,,,,,case rate,,56097,,,,,,,case rate,,122542,,,,,,,case rate,,52829,122542,
Neonate birthwt >2499g w congenital/perinatal infection,636,APR-DRG,,inpatient,,,10148,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10148,,,,,,,case rate,,13802,,,,,,,case rate,,10148,,,,,,,case rate,,10148,,,,,,,case rate,,10148,,,,,,,case rate,,11671,,,,,,,case rate,,11163,,,,,,,case rate,,9844,,,,,,,case rate,,10148,,,,,,,case rate,,10148,,,,,,,case rate,,10453,,,,,,,case rate,,22834,,,,,,,case rate,,9844,22834,
Neonate birthwt >2499g w congenital/perinatal infection,636,APR-DRG,,inpatient,,,13773,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13773,,,,,,,case rate,,18731,,,,,,,case rate,,13773,,,,,,,case rate,,13773,,,,,,,case rate,,13773,,,,,,,case rate,,15838,,,,,,,case rate,,15150,,,,,,,case rate,,13359,,,,,,,case rate,,13773,,,,,,,case rate,,13773,,,,,,,case rate,,14186,,,,,,,case rate,,30988,,,,,,,case rate,,13359,30988,
Neonate birthwt >2499g w congenital/perinatal infection,636,APR-DRG,,inpatient,,,21143,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21143,,,,,,,case rate,,28754,,,,,,,case rate,,21143,,,,,,,case rate,,21143,,,,,,,case rate,,21143,,,,,,,case rate,,24314,,,,,,,case rate,,23257,,,,,,,case rate,,20509,,,,,,,case rate,,21143,,,,,,,case rate,,21143,,,,,,,case rate,,21777,,,,,,,case rate,,47571,,,,,,,case rate,,20509,47571,
Neonate birthwt >2499g w congenital/perinatal infection,636,APR-DRG,,inpatient,,,27563,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27563,,,,,,,case rate,,37485,,,,,,,case rate,,27563,,,,,,,case rate,,27563,,,,,,,case rate,,27563,,,,,,,case rate,,31697,,,,,,,case rate,,30319,,,,,,,case rate,,26736,,,,,,,case rate,,27563,,,,,,,case rate,,27563,,,,,,,case rate,,28389,,,,,,,case rate,,62016,,,,,,,case rate,,26736,62016,
Neonate birthwt >2499g w major anomaly,633,APR-DRG,,inpatient,,,2896,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2896,,,,,,,case rate,,3939,,,,,,,case rate,,2896,,,,,,,case rate,,2896,,,,,,,case rate,,2896,,,,,,,case rate,,3331,,,,,,,case rate,,3186,,,,,,,case rate,,2809,,,,,,,case rate,,2896,,,,,,,case rate,,2896,,,,,,,case rate,,2983,,,,,,,case rate,,6517,,,,,,,case rate,,2809,6517,
Neonate birthwt >2499g w major anomaly,633,APR-DRG,,inpatient,,,9358,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9358,,,,,,,case rate,,12727,,,,,,,case rate,,9358,,,,,,,case rate,,9358,,,,,,,case rate,,9358,,,,,,,case rate,,10762,,,,,,,case rate,,10294,,,,,,,case rate,,9077,,,,,,,case rate,,9358,,,,,,,case rate,,9358,,,,,,,case rate,,9639,,,,,,,case rate,,21056,,,,,,,case rate,,9077,21056,
Neonate birthwt >2499g w major anomaly,633,APR-DRG,,inpatient,,,24630,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24630,,,,,,,case rate,,33497,,,,,,,case rate,,24630,,,,,,,case rate,,24630,,,,,,,case rate,,24630,,,,,,,case rate,,28325,,,,,,,case rate,,27093,,,,,,,case rate,,23891,,,,,,,case rate,,24630,,,,,,,case rate,,24630,,,,,,,case rate,,25369,,,,,,,case rate,,55418,,,,,,,case rate,,23891,55418,
Neonate birthwt >2499g w major anomaly,633,APR-DRG,,inpatient,,,55027,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,55027,,,,,,,case rate,,74837,,,,,,,case rate,,55027,,,,,,,case rate,,55027,,,,,,,case rate,,55027,,,,,,,case rate,,63281,,,,,,,case rate,,60530,,,,,,,case rate,,53377,,,,,,,case rate,,55027,,,,,,,case rate,,55027,,,,,,,case rate,,56678,,,,,,,case rate,,123812,,,,,,,case rate,,53377,123812,
Neonate birthwt >2499g w major cardiovascular procedure,630,APR-DRG,,inpatient,,,35447,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35447,,,,,,,case rate,,48208,,,,,,,case rate,,35447,,,,,,,case rate,,35447,,,,,,,case rate,,35447,,,,,,,case rate,,40764,,,,,,,case rate,,38991,,,,,,,case rate,,34383,,,,,,,case rate,,35447,,,,,,,case rate,,35447,,,,,,,case rate,,36510,,,,,,,case rate,,79755,,,,,,,case rate,,34383,79755,
Neonate birthwt >2499g w major cardiovascular procedure,630,APR-DRG,,inpatient,,,36864,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36864,,,,,,,case rate,,50135,,,,,,,case rate,,36864,,,,,,,case rate,,36864,,,,,,,case rate,,36864,,,,,,,case rate,,42394,,,,,,,case rate,,40551,,,,,,,case rate,,35758,,,,,,,case rate,,36864,,,,,,,case rate,,36864,,,,,,,case rate,,37970,,,,,,,case rate,,82944,,,,,,,case rate,,35758,82944,
Neonate birthwt >2499g w major cardiovascular procedure,630,APR-DRG,,inpatient,,,60902,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,60902,,,,,,,case rate,,82827,,,,,,,case rate,,60902,,,,,,,case rate,,60902,,,,,,,case rate,,60902,,,,,,,case rate,,70038,,,,,,,case rate,,66993,,,,,,,case rate,,59075,,,,,,,case rate,,60902,,,,,,,case rate,,60902,,,,,,,case rate,,62729,,,,,,,case rate,,137030,,,,,,,case rate,,59075,137030,
Neonate birthwt >2499g w major cardiovascular procedure,630,APR-DRG,,inpatient,,,125695,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,125695,,,,,,,case rate,,170945,,,,,,,case rate,,125695,,,,,,,case rate,,125695,,,,,,,case rate,,125695,,,,,,,case rate,,144549,,,,,,,case rate,,138264,,,,,,,case rate,,121924,,,,,,,case rate,,125695,,,,,,,case rate,,125695,,,,,,,case rate,,129466,,,,,,,case rate,,282813,,,,,,,case rate,,121924,282813,
Neonate birthwt >2499g w other major procedure,631,APR-DRG,,inpatient,,,16734,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16734,,,,,,,case rate,,22758,,,,,,,case rate,,16734,,,,,,,case rate,,16734,,,,,,,case rate,,16734,,,,,,,case rate,,19244,,,,,,,case rate,,18407,,,,,,,case rate,,16232,,,,,,,case rate,,16734,,,,,,,case rate,,16734,,,,,,,case rate,,17236,,,,,,,case rate,,37651,,,,,,,case rate,,16232,37651,
Neonate birthwt >2499g w other major procedure,631,APR-DRG,,inpatient,,,30156,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30156,,,,,,,case rate,,41012,,,,,,,case rate,,30156,,,,,,,case rate,,30156,,,,,,,case rate,,30156,,,,,,,case rate,,34679,,,,,,,case rate,,33171,,,,,,,case rate,,29251,,,,,,,case rate,,30156,,,,,,,case rate,,30156,,,,,,,case rate,,31060,,,,,,,case rate,,67850,,,,,,,case rate,,29251,67850,
Neonate birthwt >2499g w other major procedure,631,APR-DRG,,inpatient,,,50116,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,50116,,,,,,,case rate,,68157,,,,,,,case rate,,50116,,,,,,,case rate,,50116,,,,,,,case rate,,50116,,,,,,,case rate,,57633,,,,,,,case rate,,55127,,,,,,,case rate,,48612,,,,,,,case rate,,50116,,,,,,,case rate,,50116,,,,,,,case rate,,51619,,,,,,,case rate,,112760,,,,,,,case rate,,48612,112760,
Neonate birthwt >2499g w other major procedure,631,APR-DRG,,inpatient,,,108057,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,108057,,,,,,,case rate,,146957,,,,,,,case rate,,108057,,,,,,,case rate,,108057,,,,,,,case rate,,108057,,,,,,,case rate,,124265,,,,,,,case rate,,118862,,,,,,,case rate,,104815,,,,,,,case rate,,108057,,,,,,,case rate,,108057,,,,,,,case rate,,111298,,,,,,,case rate,,243128,,,,,,,case rate,,104815,243128,
Neonate birthwt >2499g w other significant condition,639,APR-DRG,,inpatient,,,5300,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5300,,,,,,,case rate,,7208,,,,,,,case rate,,5300,,,,,,,case rate,,5300,,,,,,,case rate,,5300,,,,,,,case rate,,6095,,,,,,,case rate,,5830,,,,,,,case rate,,5141,,,,,,,case rate,,5300,,,,,,,case rate,,5300,,,,,,,case rate,,5459,,,,,,,case rate,,11926,,,,,,,case rate,,5141,11926,
Neonate birthwt >2499g w other significant condition,639,APR-DRG,,inpatient,,,13326,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13326,,,,,,,case rate,,18124,,,,,,,case rate,,13326,,,,,,,case rate,,13326,,,,,,,case rate,,13326,,,,,,,case rate,,15325,,,,,,,case rate,,14659,,,,,,,case rate,,12927,,,,,,,case rate,,13326,,,,,,,case rate,,13326,,,,,,,case rate,,13726,,,,,,,case rate,,29985,,,,,,,case rate,,12927,29985,
Neonate birthwt >2499g w other significant condition,639,APR-DRG,,inpatient,,,19155,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19155,,,,,,,case rate,,26051,,,,,,,case rate,,19155,,,,,,,case rate,,19155,,,,,,,case rate,,19155,,,,,,,case rate,,22028,,,,,,,case rate,,21071,,,,,,,case rate,,18580,,,,,,,case rate,,19155,,,,,,,case rate,,19155,,,,,,,case rate,,19730,,,,,,,case rate,,43099,,,,,,,case rate,,18580,43099,
Neonate birthwt >2499g w other significant condition,639,APR-DRG,,inpatient,,,39409,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39409,,,,,,,case rate,,53596,,,,,,,case rate,,39409,,,,,,,case rate,,39409,,,,,,,case rate,,39409,,,,,,,case rate,,45320,,,,,,,case rate,,43350,,,,,,,case rate,,38227,,,,,,,case rate,,39409,,,,,,,case rate,,39409,,,,,,,case rate,,40591,,,,,,,case rate,,88670,,,,,,,case rate,,38227,88670,
"Neonate birthwt >2499g, normal newborn or neonate w other problem",640,APR-DRG,,inpatient,,,1798,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,1798,,,,,,,case rate,,2445,,,,,,,case rate,,1798,,,,,,,case rate,,1798,,,,,,,case rate,,1798,,,,,,,case rate,,2067,,,,,,,case rate,,1977,,,,,,,case rate,,1744,,,,,,,case rate,,1798,,,,,,,case rate,,1798,,,,,,,case rate,,1852,,,,,,,case rate,,4045,,,,,,,case rate,,1744,4045,
"Neonate birthwt >2499g, normal newborn or neonate w other problem",640,APR-DRG,,inpatient,,,2498,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2498,,,,,,,case rate,,3397,,,,,,,case rate,,2498,,,,,,,case rate,,2498,,,,,,,case rate,,2498,,,,,,,case rate,,2872,,,,,,,case rate,,2747,,,,,,,case rate,,2423,,,,,,,case rate,,2498,,,,,,,case rate,,2498,,,,,,,case rate,,2572,,,,,,,case rate,,5619,,,,,,,case rate,,2423,5619,
"Neonate birthwt >2499g, normal newborn or neonate w other problem",640,APR-DRG,,inpatient,,,5551,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5551,,,,,,,case rate,,7550,,,,,,,case rate,,5551,,,,,,,case rate,,5551,,,,,,,case rate,,5551,,,,,,,case rate,,6384,,,,,,,case rate,,6106,,,,,,,case rate,,5385,,,,,,,case rate,,5551,,,,,,,case rate,,5551,,,,,,,case rate,,5718,,,,,,,case rate,,12490,,,,,,,case rate,,5385,12490,
"Neonate birthwt >2499g, normal newborn or neonate w other problem",640,APR-DRG,,inpatient,,,5557,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5557,,,,,,,case rate,,7558,,,,,,,case rate,,5557,,,,,,,case rate,,5557,,,,,,,case rate,,5557,,,,,,,case rate,,6391,,,,,,,case rate,,6113,,,,,,,case rate,,5391,,,,,,,case rate,,5557,,,,,,,case rate,,5557,,,,,,,case rate,,5724,,,,,,,case rate,,12504,,,,,,,case rate,,5391,12504,
Neonate birthwt 1000-1249g w or w/o other significant condition,603,APR-DRG,,inpatient,,,53180,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,53180,,,,,,,case rate,,72325,,,,,,,case rate,,53180,,,,,,,case rate,,53180,,,,,,,case rate,,53180,,,,,,,case rate,,61157,,,,,,,case rate,,58498,,,,,,,case rate,,51585,,,,,,,case rate,,53180,,,,,,,case rate,,53180,,,,,,,case rate,,54776,,,,,,,case rate,,119656,,,,,,,case rate,,51585,119656,
Neonate birthwt 1000-1249g w or w/o other significant condition,603,APR-DRG,,inpatient,,,70903,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,70903,,,,,,,case rate,,96428,,,,,,,case rate,,70903,,,,,,,case rate,,70903,,,,,,,case rate,,70903,,,,,,,case rate,,81538,,,,,,,case rate,,77993,,,,,,,case rate,,68776,,,,,,,case rate,,70903,,,,,,,case rate,,70903,,,,,,,case rate,,73030,,,,,,,case rate,,159531,,,,,,,case rate,,68776,159531,
Neonate birthwt 1000-1249g w or w/o other significant condition,603,APR-DRG,,inpatient,,,92281,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,92281,,,,,,,case rate,,125502,,,,,,,case rate,,92281,,,,,,,case rate,,92281,,,,,,,case rate,,92281,,,,,,,case rate,,106123,,,,,,,case rate,,101509,,,,,,,case rate,,89513,,,,,,,case rate,,92281,,,,,,,case rate,,92281,,,,,,,case rate,,95049,,,,,,,case rate,,207632,,,,,,,case rate,,89513,207632,
Neonate birthwt 1000-1249g w or w/o other significant condition,603,APR-DRG,,inpatient,,,143170,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,143170,,,,,,,case rate,,194712,,,,,,,case rate,,143170,,,,,,,case rate,,143170,,,,,,,case rate,,143170,,,,,,,case rate,,164646,,,,,,,case rate,,157488,,,,,,,case rate,,138875,,,,,,,case rate,,143170,,,,,,,case rate,,143170,,,,,,,case rate,,147466,,,,,,,case rate,,322134,,,,,,,case rate,,138875,322134,
Neonate birthwt 1500-1999g w congenital/perinatal infection,613,APR-DRG,,inpatient,,,27382,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27382,,,,,,,case rate,,37239,,,,,,,case rate,,27382,,,,,,,case rate,,27382,,,,,,,case rate,,27382,,,,,,,case rate,,31489,,,,,,,case rate,,30120,,,,,,,case rate,,26560,,,,,,,case rate,,27382,,,,,,,case rate,,27382,,,,,,,case rate,,28203,,,,,,,case rate,,61609,,,,,,,case rate,,26560,61609,
Neonate birthwt 1500-1999g w congenital/perinatal infection,613,APR-DRG,,inpatient,,,41396,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41396,,,,,,,case rate,,56298,,,,,,,case rate,,41396,,,,,,,case rate,,41396,,,,,,,case rate,,41396,,,,,,,case rate,,47605,,,,,,,case rate,,45535,,,,,,,case rate,,40154,,,,,,,case rate,,41396,,,,,,,case rate,,41396,,,,,,,case rate,,42638,,,,,,,case rate,,93140,,,,,,,case rate,,40154,93140,
Neonate birthwt 1500-1999g w congenital/perinatal infection,613,APR-DRG,,inpatient,,,51880,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51880,,,,,,,case rate,,70557,,,,,,,case rate,,51880,,,,,,,case rate,,51880,,,,,,,case rate,,51880,,,,,,,case rate,,59662,,,,,,,case rate,,57068,,,,,,,case rate,,50324,,,,,,,case rate,,51880,,,,,,,case rate,,51880,,,,,,,case rate,,53437,,,,,,,case rate,,116731,,,,,,,case rate,,50324,116731,
Neonate birthwt 1500-1999g w congenital/perinatal infection,613,APR-DRG,,inpatient,,,53221,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,53221,,,,,,,case rate,,72380,,,,,,,case rate,,53221,,,,,,,case rate,,53221,,,,,,,case rate,,53221,,,,,,,case rate,,61204,,,,,,,case rate,,58543,,,,,,,case rate,,51624,,,,,,,case rate,,53221,,,,,,,case rate,,53221,,,,,,,case rate,,54817,,,,,,,case rate,,119746,,,,,,,case rate,,51624,119746,
Neonate birthwt 1500-1999g w major anomaly,611,APR-DRG,,inpatient,,,25746,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25746,,,,,,,case rate,,35015,,,,,,,case rate,,25746,,,,,,,case rate,,25746,,,,,,,case rate,,25746,,,,,,,case rate,,29608,,,,,,,case rate,,28321,,,,,,,case rate,,24974,,,,,,,case rate,,25746,,,,,,,case rate,,25746,,,,,,,case rate,,26519,,,,,,,case rate,,57929,,,,,,,case rate,,24974,57929,
Neonate birthwt 1500-1999g w major anomaly,611,APR-DRG,,inpatient,,,41471,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41471,,,,,,,case rate,,56400,,,,,,,case rate,,41471,,,,,,,case rate,,41471,,,,,,,case rate,,41471,,,,,,,case rate,,47691,,,,,,,case rate,,45618,,,,,,,case rate,,40227,,,,,,,case rate,,41471,,,,,,,case rate,,41471,,,,,,,case rate,,42715,,,,,,,case rate,,93309,,,,,,,case rate,,40227,93309,
Neonate birthwt 1500-1999g w major anomaly,611,APR-DRG,,inpatient,,,64400,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64400,,,,,,,case rate,,87584,,,,,,,case rate,,64400,,,,,,,case rate,,64400,,,,,,,case rate,,64400,,,,,,,case rate,,74060,,,,,,,case rate,,70840,,,,,,,case rate,,62468,,,,,,,case rate,,64400,,,,,,,case rate,,64400,,,,,,,case rate,,66332,,,,,,,case rate,,144900,,,,,,,case rate,,62468,144900,
Neonate birthwt 1500-1999g w major anomaly,611,APR-DRG,,inpatient,,,84420,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,84420,,,,,,,case rate,,114812,,,,,,,case rate,,84420,,,,,,,case rate,,84420,,,,,,,case rate,,84420,,,,,,,case rate,,97083,,,,,,,case rate,,92862,,,,,,,case rate,,81888,,,,,,,case rate,,84420,,,,,,,case rate,,84420,,,,,,,case rate,,86953,,,,,,,case rate,,189946,,,,,,,case rate,,81888,189946,
Neonate birthwt 500-749g w/o major procedure,591,APR-DRG,,inpatient,,,91365,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,91365,,,,,,,case rate,,124257,,,,,,,case rate,,91365,,,,,,,case rate,,91365,,,,,,,case rate,,91365,,,,,,,case rate,,105070,,,,,,,case rate,,100502,,,,,,,case rate,,88624,,,,,,,case rate,,91365,,,,,,,case rate,,91365,,,,,,,case rate,,94106,,,,,,,case rate,,205572,,,,,,,case rate,,88624,205572,
Neonate birthwt 500-749g w/o major procedure,591,APR-DRG,,inpatient,,,113283,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,113283,,,,,,,case rate,,154065,,,,,,,case rate,,113283,,,,,,,case rate,,113283,,,,,,,case rate,,113283,,,,,,,case rate,,130276,,,,,,,case rate,,124611,,,,,,,case rate,,109885,,,,,,,case rate,,113283,,,,,,,case rate,,113283,,,,,,,case rate,,116682,,,,,,,case rate,,254887,,,,,,,case rate,,109885,254887,
Neonate birthwt 500-749g w/o major procedure,591,APR-DRG,,inpatient,,,121433,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,121433,,,,,,,case rate,,165148,,,,,,,case rate,,121433,,,,,,,case rate,,121433,,,,,,,case rate,,121433,,,,,,,case rate,,139647,,,,,,,case rate,,133576,,,,,,,case rate,,117790,,,,,,,case rate,,121433,,,,,,,case rate,,121433,,,,,,,case rate,,125075,,,,,,,case rate,,273223,,,,,,,case rate,,117790,273223,
Neonate birthwt 500-749g w/o major procedure,591,APR-DRG,,inpatient,,,199131,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,199131,,,,,,,case rate,,270818,,,,,,,case rate,,199131,,,,,,,case rate,,199131,,,,,,,case rate,,199131,,,,,,,case rate,,229001,,,,,,,case rate,,219044,,,,,,,case rate,,193157,,,,,,,case rate,,199131,,,,,,,case rate,,199131,,,,,,,case rate,,205105,,,,,,,case rate,,448045,,,,,,,case rate,,193157,448045,
Neonate birthwt 750-999g w/o major procedure,593,APR-DRG,,inpatient,,,111031,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,111031,,,,,,,case rate,,151002,,,,,,,case rate,,111031,,,,,,,case rate,,111031,,,,,,,case rate,,111031,,,,,,,case rate,,127686,,,,,,,case rate,,122134,,,,,,,case rate,,107700,,,,,,,case rate,,111031,,,,,,,case rate,,111031,,,,,,,case rate,,114362,,,,,,,case rate,,249820,,,,,,,case rate,,107700,249820,
Neonate birthwt 750-999g w/o major procedure,593,APR-DRG,,inpatient,,,114519,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,114519,,,,,,,case rate,,155745,,,,,,,case rate,,114519,,,,,,,case rate,,114519,,,,,,,case rate,,114519,,,,,,,case rate,,131696,,,,,,,case rate,,125970,,,,,,,case rate,,111083,,,,,,,case rate,,114519,,,,,,,case rate,,114519,,,,,,,case rate,,117954,,,,,,,case rate,,257667,,,,,,,case rate,,111083,257667,
Neonate birthwt 750-999g w/o major procedure,593,APR-DRG,,inpatient,,,139966,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,139966,,,,,,,case rate,,190353,,,,,,,case rate,,139966,,,,,,,case rate,,139966,,,,,,,case rate,,139966,,,,,,,case rate,,160961,,,,,,,case rate,,153962,,,,,,,case rate,,135767,,,,,,,case rate,,139966,,,,,,,case rate,,139966,,,,,,,case rate,,144165,,,,,,,case rate,,314923,,,,,,,case rate,,135767,314923,
Neonate birthwt 750-999g w/o major procedure,593,APR-DRG,,inpatient,,,179206,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,179206,,,,,,,case rate,,243720,,,,,,,case rate,,179206,,,,,,,case rate,,179206,,,,,,,case rate,,179206,,,,,,,case rate,,206087,,,,,,,case rate,,197127,,,,,,,case rate,,173830,,,,,,,case rate,,179206,,,,,,,case rate,,179206,,,,,,,case rate,,184582,,,,,,,case rate,,403214,,,,,,,case rate,,173830,403214,
Neonate bwt <1500g w major procedure,588,APR-DRG,,inpatient,,,198412,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,198412,,,,,,,case rate,,269840,,,,,,,case rate,,198412,,,,,,,case rate,,198412,,,,,,,case rate,,198412,,,,,,,case rate,,228173,,,,,,,case rate,,218253,,,,,,,case rate,,192459,,,,,,,case rate,,198412,,,,,,,case rate,,198412,,,,,,,case rate,,204364,,,,,,,case rate,,446426,,,,,,,case rate,,192459,446426,
Neonate bwt <1500g w major procedure,588,APR-DRG,,inpatient,,,198412,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,198412,,,,,,,case rate,,269840,,,,,,,case rate,,198412,,,,,,,case rate,,198412,,,,,,,case rate,,198412,,,,,,,case rate,,228173,,,,,,,case rate,,218253,,,,,,,case rate,,192459,,,,,,,case rate,,198412,,,,,,,case rate,,198412,,,,,,,case rate,,204364,,,,,,,case rate,,446426,,,,,,,case rate,,192459,446426,
Neonate bwt <1500g w major procedure,588,APR-DRG,,inpatient,,,259357,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,259357,,,,,,,case rate,,352726,,,,,,,case rate,,259357,,,,,,,case rate,,259357,,,,,,,case rate,,259357,,,,,,,case rate,,298261,,,,,,,case rate,,285293,,,,,,,case rate,,251576,,,,,,,case rate,,259357,,,,,,,case rate,,259357,,,,,,,case rate,,267138,,,,,,,case rate,,583553,,,,,,,case rate,,251576,583553,
Neonate bwt <1500g w major procedure,588,APR-DRG,,inpatient,,,259357,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,259357,,,,,,,case rate,,352726,,,,,,,case rate,,259357,,,,,,,case rate,,259357,,,,,,,case rate,,259357,,,,,,,case rate,,298261,,,,,,,case rate,,285293,,,,,,,case rate,,251576,,,,,,,case rate,,259357,,,,,,,case rate,,259357,,,,,,,case rate,,267138,,,,,,,case rate,,583553,,,,,,,case rate,,251576,583553,
Neonate bwt <500g or GA <24 weeks,589,APR-DRG,,inpatient,,,124764,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,124764,,,,,,,case rate,,169679,,,,,,,case rate,,124764,,,,,,,case rate,,124764,,,,,,,case rate,,124764,,,,,,,case rate,,143478,,,,,,,case rate,,137240,,,,,,,case rate,,121021,,,,,,,case rate,,124764,,,,,,,case rate,,124764,,,,,,,case rate,,128507,,,,,,,case rate,,280718,,,,,,,case rate,,121021,280718,
Neonate bwt <500g or GA <24 weeks,589,APR-DRG,,inpatient,,,124764,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,124764,,,,,,,case rate,,169679,,,,,,,case rate,,124764,,,,,,,case rate,,124764,,,,,,,case rate,,124764,,,,,,,case rate,,143478,,,,,,,case rate,,137240,,,,,,,case rate,,121021,,,,,,,case rate,,124764,,,,,,,case rate,,124764,,,,,,,case rate,,128507,,,,,,,case rate,,280718,,,,,,,case rate,,121021,280718,
Neonate bwt <500g or GA <24 weeks,589,APR-DRG,,inpatient,,,45222,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,45222,,,,,,,case rate,,61502,,,,,,,case rate,,45222,,,,,,,case rate,,45222,,,,,,,case rate,,45222,,,,,,,case rate,,52005,,,,,,,case rate,,49744,,,,,,,case rate,,43866,,,,,,,case rate,,45222,,,,,,,case rate,,45222,,,,,,,case rate,,46579,,,,,,,case rate,,101750,,,,,,,case rate,,43866,101750,
Neonate bwt <500g or GA <24 weeks,589,APR-DRG,,inpatient,,,1167,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,1167,,,,,,,case rate,,1587,,,,,,,case rate,,1167,,,,,,,case rate,,1167,,,,,,,case rate,,1167,,,,,,,case rate,,1342,,,,,,,case rate,,1283,,,,,,,case rate,,1132,,,,,,,case rate,,1167,,,,,,,case rate,,1167,,,,,,,case rate,,1202,,,,,,,case rate,,2625,,,,,,,case rate,,1132,2625,
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom,602,APR-DRG,,inpatient,,,66732,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,66732,,,,,,,case rate,,90755,,,,,,,case rate,,66732,,,,,,,case rate,,66732,,,,,,,case rate,,66732,,,,,,,case rate,,76742,,,,,,,case rate,,73405,,,,,,,case rate,,64730,,,,,,,case rate,,66732,,,,,,,case rate,,66732,,,,,,,case rate,,68734,,,,,,,case rate,,150147,,,,,,,case rate,,64730,150147,
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom,602,APR-DRG,,inpatient,,,97477,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,97477,,,,,,,case rate,,132568,,,,,,,case rate,,97477,,,,,,,case rate,,97477,,,,,,,case rate,,97477,,,,,,,case rate,,112098,,,,,,,case rate,,107224,,,,,,,case rate,,94552,,,,,,,case rate,,97477,,,,,,,case rate,,97477,,,,,,,case rate,,100401,,,,,,,case rate,,219322,,,,,,,case rate,,94552,219322,
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom,602,APR-DRG,,inpatient,,,114724,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,114724,,,,,,,case rate,,156025,,,,,,,case rate,,114724,,,,,,,case rate,,114724,,,,,,,case rate,,114724,,,,,,,case rate,,131933,,,,,,,case rate,,126196,,,,,,,case rate,,111282,,,,,,,case rate,,114724,,,,,,,case rate,,114724,,,,,,,case rate,,118166,,,,,,,case rate,,258129,,,,,,,case rate,,111282,258129,
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom,602,APR-DRG,,inpatient,,,155420,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,155420,,,,,,,case rate,,211371,,,,,,,case rate,,155420,,,,,,,case rate,,155420,,,,,,,case rate,,155420,,,,,,,case rate,,178733,,,,,,,case rate,,170962,,,,,,,case rate,,150757,,,,,,,case rate,,155420,,,,,,,case rate,,155420,,,,,,,case rate,,160082,,,,,,,case rate,,349695,,,,,,,case rate,,150757,349695,
Neonate bwt 1250-1499g w or w/o other significant condition,608,APR-DRG,,inpatient,,,43624,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,43624,,,,,,,case rate,,59329,,,,,,,case rate,,43624,,,,,,,case rate,,43624,,,,,,,case rate,,43624,,,,,,,case rate,,50168,,,,,,,case rate,,47986,,,,,,,case rate,,42315,,,,,,,case rate,,43624,,,,,,,case rate,,43624,,,,,,,case rate,,44933,,,,,,,case rate,,98154,,,,,,,case rate,,42315,98154,
Neonate bwt 1250-1499g w or w/o other significant condition,608,APR-DRG,,inpatient,,,58441,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,58441,,,,,,,case rate,,79479,,,,,,,case rate,,58441,,,,,,,case rate,,58441,,,,,,,case rate,,58441,,,,,,,case rate,,67207,,,,,,,case rate,,64285,,,,,,,case rate,,56687,,,,,,,case rate,,58441,,,,,,,case rate,,58441,,,,,,,case rate,,60194,,,,,,,case rate,,131492,,,,,,,case rate,,56687,131492,
Neonate bwt 1250-1499g w or w/o other significant condition,608,APR-DRG,,inpatient,,,70133,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,70133,,,,,,,case rate,,95381,,,,,,,case rate,,70133,,,,,,,case rate,,70133,,,,,,,case rate,,70133,,,,,,,case rate,,80653,,,,,,,case rate,,77146,,,,,,,case rate,,68029,,,,,,,case rate,,70133,,,,,,,case rate,,70133,,,,,,,case rate,,72237,,,,,,,case rate,,157799,,,,,,,case rate,,68029,157799,
Neonate bwt 1250-1499g w or w/o other significant condition,608,APR-DRG,,inpatient,,,73821,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,73821,,,,,,,case rate,,100396,,,,,,,case rate,,73821,,,,,,,case rate,,73821,,,,,,,case rate,,73821,,,,,,,case rate,,84894,,,,,,,case rate,,81203,,,,,,,case rate,,71606,,,,,,,case rate,,73821,,,,,,,case rate,,73821,,,,,,,case rate,,76035,,,,,,,case rate,,166097,,,,,,,case rate,,71606,166097,
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom,607,APR-DRG,,inpatient,,,62091,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62091,,,,,,,case rate,,84444,,,,,,,case rate,,62091,,,,,,,case rate,,62091,,,,,,,case rate,,62091,,,,,,,case rate,,71405,,,,,,,case rate,,68301,,,,,,,case rate,,60229,,,,,,,case rate,,62091,,,,,,,case rate,,62091,,,,,,,case rate,,63954,,,,,,,case rate,,139706,,,,,,,case rate,,60229,139706,
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom,607,APR-DRG,,inpatient,,,76863,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,76863,,,,,,,case rate,,104534,,,,,,,case rate,,76863,,,,,,,case rate,,76863,,,,,,,case rate,,76863,,,,,,,case rate,,88392,,,,,,,case rate,,84549,,,,,,,case rate,,74557,,,,,,,case rate,,76863,,,,,,,case rate,,76863,,,,,,,case rate,,79169,,,,,,,case rate,,172942,,,,,,,case rate,,74557,172942,
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom,607,APR-DRG,,inpatient,,,94034,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,94034,,,,,,,case rate,,127887,,,,,,,case rate,,94034,,,,,,,case rate,,94034,,,,,,,case rate,,94034,,,,,,,case rate,,108140,,,,,,,case rate,,103438,,,,,,,case rate,,91213,,,,,,,case rate,,94034,,,,,,,case rate,,94034,,,,,,,case rate,,96855,,,,,,,case rate,,211578,,,,,,,case rate,,91213,211578,
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom,607,APR-DRG,,inpatient,,,126888,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,126888,,,,,,,case rate,,172568,,,,,,,case rate,,126888,,,,,,,case rate,,126888,,,,,,,case rate,,126888,,,,,,,case rate,,145921,,,,,,,case rate,,139577,,,,,,,case rate,,123081,,,,,,,case rate,,126888,,,,,,,case rate,,126888,,,,,,,case rate,,130695,,,,,,,case rate,,285498,,,,,,,case rate,,123081,285498,
Neonate bwt 1500-1999g w or w/o other significant condition,614,APR-DRG,,inpatient,,,20500,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20500,,,,,,,case rate,,27881,,,,,,,case rate,,20500,,,,,,,case rate,,20500,,,,,,,case rate,,20500,,,,,,,case rate,,23576,,,,,,,case rate,,22551,,,,,,,case rate,,19885,,,,,,,case rate,,20500,,,,,,,case rate,,20500,,,,,,,case rate,,21116,,,,,,,case rate,,46126,,,,,,,case rate,,19885,46126,
Neonate bwt 1500-1999g w or w/o other significant condition,614,APR-DRG,,inpatient,,,33900,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33900,,,,,,,case rate,,46104,,,,,,,case rate,,33900,,,,,,,case rate,,33900,,,,,,,case rate,,33900,,,,,,,case rate,,38985,,,,,,,case rate,,37290,,,,,,,case rate,,32883,,,,,,,case rate,,33900,,,,,,,case rate,,33900,,,,,,,case rate,,34917,,,,,,,case rate,,76275,,,,,,,case rate,,32883,76275,
Neonate bwt 1500-1999g w or w/o other significant condition,614,APR-DRG,,inpatient,,,51761,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51761,,,,,,,case rate,,70395,,,,,,,case rate,,51761,,,,,,,case rate,,51761,,,,,,,case rate,,51761,,,,,,,case rate,,59525,,,,,,,case rate,,56937,,,,,,,case rate,,50208,,,,,,,case rate,,51761,,,,,,,case rate,,51761,,,,,,,case rate,,53314,,,,,,,case rate,,116462,,,,,,,case rate,,50208,116462,
Neonate bwt 1500-1999g w or w/o other significant condition,614,APR-DRG,,inpatient,,,51761,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51761,,,,,,,case rate,,70395,,,,,,,case rate,,51761,,,,,,,case rate,,51761,,,,,,,case rate,,51761,,,,,,,case rate,,59525,,,,,,,case rate,,56937,,,,,,,case rate,,50208,,,,,,,case rate,,51761,,,,,,,case rate,,51761,,,,,,,case rate,,53314,,,,,,,case rate,,116462,,,,,,,case rate,,50208,116462,
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond,612,APR-DRG,,inpatient,,,36160,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36160,,,,,,,case rate,,49178,,,,,,,case rate,,36160,,,,,,,case rate,,36160,,,,,,,case rate,,36160,,,,,,,case rate,,41584,,,,,,,case rate,,39776,,,,,,,case rate,,35075,,,,,,,case rate,,36160,,,,,,,case rate,,36160,,,,,,,case rate,,37245,,,,,,,case rate,,81360,,,,,,,case rate,,35075,81360,
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond,612,APR-DRG,,inpatient,,,46766,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,46766,,,,,,,case rate,,63602,,,,,,,case rate,,46766,,,,,,,case rate,,46766,,,,,,,case rate,,46766,,,,,,,case rate,,53781,,,,,,,case rate,,51443,,,,,,,case rate,,45363,,,,,,,case rate,,46766,,,,,,,case rate,,46766,,,,,,,case rate,,48169,,,,,,,case rate,,105223,,,,,,,case rate,,45363,105223,
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond,612,APR-DRG,,inpatient,,,65193,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,65193,,,,,,,case rate,,88663,,,,,,,case rate,,65193,,,,,,,case rate,,65193,,,,,,,case rate,,65193,,,,,,,case rate,,74972,,,,,,,case rate,,71713,,,,,,,case rate,,63238,,,,,,,case rate,,65193,,,,,,,case rate,,65193,,,,,,,case rate,,67149,,,,,,,case rate,,146685,,,,,,,case rate,,63238,146685,
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond,612,APR-DRG,,inpatient,,,87092,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,87092,,,,,,,case rate,,118445,,,,,,,case rate,,87092,,,,,,,case rate,,87092,,,,,,,case rate,,87092,,,,,,,case rate,,100155,,,,,,,case rate,,95801,,,,,,,case rate,,84479,,,,,,,case rate,,87092,,,,,,,case rate,,87092,,,,,,,case rate,,89704,,,,,,,case rate,,195956,,,,,,,case rate,,84479,195956,
Neonate bwt 1500-2499g w major procedure,609,APR-DRG,,inpatient,,,36669,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36669,,,,,,,case rate,,49870,,,,,,,case rate,,36669,,,,,,,case rate,,36669,,,,,,,case rate,,36669,,,,,,,case rate,,42169,,,,,,,case rate,,40336,,,,,,,case rate,,35569,,,,,,,case rate,,36669,,,,,,,case rate,,36669,,,,,,,case rate,,37769,,,,,,,case rate,,82505,,,,,,,case rate,,35569,82505,
Neonate bwt 1500-2499g w major procedure,609,APR-DRG,,inpatient,,,36950,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,36950,,,,,,,case rate,,50253,,,,,,,case rate,,36950,,,,,,,case rate,,36950,,,,,,,case rate,,36950,,,,,,,case rate,,42493,,,,,,,case rate,,40645,,,,,,,case rate,,35842,,,,,,,case rate,,36950,,,,,,,case rate,,36950,,,,,,,case rate,,38059,,,,,,,case rate,,83138,,,,,,,case rate,,35842,83138,
Neonate bwt 1500-2499g w major procedure,609,APR-DRG,,inpatient,,,74856,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,74856,,,,,,,case rate,,101804,,,,,,,case rate,,74856,,,,,,,case rate,,74856,,,,,,,case rate,,74856,,,,,,,case rate,,86084,,,,,,,case rate,,82341,,,,,,,case rate,,72610,,,,,,,case rate,,74856,,,,,,,case rate,,74856,,,,,,,case rate,,77101,,,,,,,case rate,,168425,,,,,,,case rate,,72610,168425,
Neonate bwt 1500-2499g w major procedure,609,APR-DRG,,inpatient,,,164080,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,164080,,,,,,,case rate,,223149,,,,,,,case rate,,164080,,,,,,,case rate,,164080,,,,,,,case rate,,164080,,,,,,,case rate,,188692,,,,,,,case rate,,180488,,,,,,,case rate,,159158,,,,,,,case rate,,164080,,,,,,,case rate,,164080,,,,,,,case rate,,169002,,,,,,,case rate,,369180,,,,,,,case rate,,159158,369180,
Neonate bwt 2000-2499g w congenital/perinatal infection,623,APR-DRG,,inpatient,,,14953,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14953,,,,,,,case rate,,20337,,,,,,,case rate,,14953,,,,,,,case rate,,14953,,,,,,,case rate,,14953,,,,,,,case rate,,17196,,,,,,,case rate,,16449,,,,,,,case rate,,14505,,,,,,,case rate,,14953,,,,,,,case rate,,14953,,,,,,,case rate,,15402,,,,,,,case rate,,33645,,,,,,,case rate,,14505,33645,
Neonate bwt 2000-2499g w congenital/perinatal infection,623,APR-DRG,,inpatient,,,22182,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22182,,,,,,,case rate,,30167,,,,,,,case rate,,22182,,,,,,,case rate,,22182,,,,,,,case rate,,22182,,,,,,,case rate,,25509,,,,,,,case rate,,24400,,,,,,,case rate,,21517,,,,,,,case rate,,22182,,,,,,,case rate,,22182,,,,,,,case rate,,22847,,,,,,,case rate,,49909,,,,,,,case rate,,21517,49909,
Neonate bwt 2000-2499g w congenital/perinatal infection,623,APR-DRG,,inpatient,,,32120,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32120,,,,,,,case rate,,43683,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,36938,,,,,,,case rate,,35332,,,,,,,case rate,,31156,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,33083,,,,,,,case rate,,72270,,,,,,,case rate,,31156,72270,
Neonate bwt 2000-2499g w congenital/perinatal infection,623,APR-DRG,,inpatient,,,32120,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32120,,,,,,,case rate,,43683,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,36938,,,,,,,case rate,,35332,,,,,,,case rate,,31156,,,,,,,case rate,,32120,,,,,,,case rate,,32120,,,,,,,case rate,,33083,,,,,,,case rate,,72270,,,,,,,case rate,,31156,72270,
Neonate bwt 2000-2499g w major anomaly,621,APR-DRG,,inpatient,,,9329,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9329,,,,,,,case rate,,12688,,,,,,,case rate,,9329,,,,,,,case rate,,9329,,,,,,,case rate,,9329,,,,,,,case rate,,10729,,,,,,,case rate,,10262,,,,,,,case rate,,9049,,,,,,,case rate,,9329,,,,,,,case rate,,9329,,,,,,,case rate,,9609,,,,,,,case rate,,20991,,,,,,,case rate,,9049,20991,
Neonate bwt 2000-2499g w major anomaly,621,APR-DRG,,inpatient,,,21522,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21522,,,,,,,case rate,,29270,,,,,,,case rate,,21522,,,,,,,case rate,,21522,,,,,,,case rate,,21522,,,,,,,case rate,,24750,,,,,,,case rate,,23674,,,,,,,case rate,,20876,,,,,,,case rate,,21522,,,,,,,case rate,,21522,,,,,,,case rate,,22168,,,,,,,case rate,,48425,,,,,,,case rate,,20876,48425,
Neonate bwt 2000-2499g w major anomaly,621,APR-DRG,,inpatient,,,40889,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40889,,,,,,,case rate,,55609,,,,,,,case rate,,40889,,,,,,,case rate,,40889,,,,,,,case rate,,40889,,,,,,,case rate,,47022,,,,,,,case rate,,44978,,,,,,,case rate,,39662,,,,,,,case rate,,40889,,,,,,,case rate,,40889,,,,,,,case rate,,42116,,,,,,,case rate,,92000,,,,,,,case rate,,39662,92000,
Neonate bwt 2000-2499g w major anomaly,621,APR-DRG,,inpatient,,,69809,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,69809,,,,,,,case rate,,94941,,,,,,,case rate,,69809,,,,,,,case rate,,69809,,,,,,,case rate,,69809,,,,,,,case rate,,80281,,,,,,,case rate,,76790,,,,,,,case rate,,67715,,,,,,,case rate,,69809,,,,,,,case rate,,69809,,,,,,,case rate,,71903,,,,,,,case rate,,157071,,,,,,,case rate,,67715,157071,
Neonate bwt 2000-2499g w other significant condition,625,APR-DRG,,inpatient,,,16443,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16443,,,,,,,case rate,,22362,,,,,,,case rate,,16443,,,,,,,case rate,,16443,,,,,,,case rate,,16443,,,,,,,case rate,,18909,,,,,,,case rate,,18087,,,,,,,case rate,,15949,,,,,,,case rate,,16443,,,,,,,case rate,,16443,,,,,,,case rate,,16936,,,,,,,case rate,,36996,,,,,,,case rate,,15949,36996,
Neonate bwt 2000-2499g w other significant condition,625,APR-DRG,,inpatient,,,26592,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26592,,,,,,,case rate,,36165,,,,,,,case rate,,26592,,,,,,,case rate,,26592,,,,,,,case rate,,26592,,,,,,,case rate,,30581,,,,,,,case rate,,29251,,,,,,,case rate,,25795,,,,,,,case rate,,26592,,,,,,,case rate,,26592,,,,,,,case rate,,27390,,,,,,,case rate,,59833,,,,,,,case rate,,25795,59833,
Neonate bwt 2000-2499g w other significant condition,625,APR-DRG,,inpatient,,,33859,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33859,,,,,,,case rate,,46048,,,,,,,case rate,,33859,,,,,,,case rate,,33859,,,,,,,case rate,,33859,,,,,,,case rate,,38938,,,,,,,case rate,,37245,,,,,,,case rate,,32843,,,,,,,case rate,,33859,,,,,,,case rate,,33859,,,,,,,case rate,,34875,,,,,,,case rate,,76182,,,,,,,case rate,,32843,76182,
Neonate bwt 2000-2499g w other significant condition,625,APR-DRG,,inpatient,,,33859,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33859,,,,,,,case rate,,46048,,,,,,,case rate,,33859,,,,,,,case rate,,33859,,,,,,,case rate,,33859,,,,,,,case rate,,38938,,,,,,,case rate,,37245,,,,,,,case rate,,32843,,,,,,,case rate,,33859,,,,,,,case rate,,33859,,,,,,,case rate,,34875,,,,,,,case rate,,76182,,,,,,,case rate,,32843,76182,
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond,622,APR-DRG,,inpatient,,,19912,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19912,,,,,,,case rate,,27080,,,,,,,case rate,,19912,,,,,,,case rate,,19912,,,,,,,case rate,,19912,,,,,,,case rate,,22898,,,,,,,case rate,,21903,,,,,,,case rate,,19314,,,,,,,case rate,,19912,,,,,,,case rate,,19912,,,,,,,case rate,,20509,,,,,,,case rate,,44801,,,,,,,case rate,,19314,44801,
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond,622,APR-DRG,,inpatient,,,27035,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27035,,,,,,,case rate,,36768,,,,,,,case rate,,27035,,,,,,,case rate,,27035,,,,,,,case rate,,27035,,,,,,,case rate,,31091,,,,,,,case rate,,29739,,,,,,,case rate,,26224,,,,,,,case rate,,27035,,,,,,,case rate,,27035,,,,,,,case rate,,27846,,,,,,,case rate,,60829,,,,,,,case rate,,26224,60829,
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond,622,APR-DRG,,inpatient,,,37060,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37060,,,,,,,case rate,,50402,,,,,,,case rate,,37060,,,,,,,case rate,,37060,,,,,,,case rate,,37060,,,,,,,case rate,,42619,,,,,,,case rate,,40766,,,,,,,case rate,,35949,,,,,,,case rate,,37060,,,,,,,case rate,,37060,,,,,,,case rate,,38172,,,,,,,case rate,,83386,,,,,,,case rate,,35949,83386,
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond,622,APR-DRG,,inpatient,,,53127,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,53127,,,,,,,case rate,,72253,,,,,,,case rate,,53127,,,,,,,case rate,,53127,,,,,,,case rate,,53127,,,,,,,case rate,,61096,,,,,,,case rate,,58440,,,,,,,case rate,,51533,,,,,,,case rate,,53127,,,,,,,case rate,,53127,,,,,,,case rate,,54721,,,,,,,case rate,,119536,,,,,,,case rate,,51533,119536,
"Neonate bwt 2000-2499g, normal newborn or neonate w other problem",626,APR-DRG,,inpatient,,,2141,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2141,,,,,,,case rate,,2912,,,,,,,case rate,,2141,,,,,,,case rate,,2141,,,,,,,case rate,,2141,,,,,,,case rate,,2462,,,,,,,case rate,,2355,,,,,,,case rate,,2077,,,,,,,case rate,,2141,,,,,,,case rate,,2141,,,,,,,case rate,,2205,,,,,,,case rate,,4817,,,,,,,case rate,,2077,4817,
"Neonate bwt 2000-2499g, normal newborn or neonate w other problem",626,APR-DRG,,inpatient,,,4282,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4282,,,,,,,case rate,,5823,,,,,,,case rate,,4282,,,,,,,case rate,,4282,,,,,,,case rate,,4282,,,,,,,case rate,,4924,,,,,,,case rate,,4710,,,,,,,case rate,,4153,,,,,,,case rate,,4282,,,,,,,case rate,,4282,,,,,,,case rate,,4410,,,,,,,case rate,,9634,,,,,,,case rate,,4153,9634,
"Neonate bwt 2000-2499g, normal newborn or neonate w other problem",626,APR-DRG,,inpatient,,,13751,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13751,,,,,,,case rate,,18701,,,,,,,case rate,,13751,,,,,,,case rate,,13751,,,,,,,case rate,,13751,,,,,,,case rate,,15814,,,,,,,case rate,,15126,,,,,,,case rate,,13338,,,,,,,case rate,,13751,,,,,,,case rate,,13751,,,,,,,case rate,,14163,,,,,,,case rate,,30940,,,,,,,case rate,,13338,30940,
"Neonate bwt 2000-2499g, normal newborn or neonate w other problem",626,APR-DRG,,inpatient,,,13766,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13766,,,,,,,case rate,,18722,,,,,,,case rate,,13766,,,,,,,case rate,,13766,,,,,,,case rate,,13766,,,,,,,case rate,,15831,,,,,,,case rate,,15143,,,,,,,case rate,,13353,,,,,,,case rate,,13766,,,,,,,case rate,,13766,,,,,,,case rate,,14179,,,,,,,case rate,,30974,,,,,,,case rate,,13353,30974,
Neonate w ECMO,583,APR-DRG,,inpatient,,,147176,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,147176,,,,,,,case rate,,200159,,,,,,,case rate,,147176,,,,,,,case rate,,147176,,,,,,,case rate,,147176,,,,,,,case rate,,169252,,,,,,,case rate,,161893,,,,,,,case rate,,142761,,,,,,,case rate,,147176,,,,,,,case rate,,147176,,,,,,,case rate,,151591,,,,,,,case rate,,331146,,,,,,,case rate,,142761,331146,
Neonate w ECMO,583,APR-DRG,,inpatient,,,147176,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,147176,,,,,,,case rate,,200159,,,,,,,case rate,,147176,,,,,,,case rate,,147176,,,,,,,case rate,,147176,,,,,,,case rate,,169252,,,,,,,case rate,,161893,,,,,,,case rate,,142761,,,,,,,case rate,,147176,,,,,,,case rate,,147176,,,,,,,case rate,,151591,,,,,,,case rate,,331146,,,,,,,case rate,,142761,331146,
Neonate w ECMO,583,APR-DRG,,inpatient,,,149981,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,149981,,,,,,,case rate,,203974,,,,,,,case rate,,149981,,,,,,,case rate,,149981,,,,,,,case rate,,149981,,,,,,,case rate,,172478,,,,,,,case rate,,164979,,,,,,,case rate,,145481,,,,,,,case rate,,149981,,,,,,,case rate,,149981,,,,,,,case rate,,154480,,,,,,,case rate,,337457,,,,,,,case rate,,145481,337457,
Neonate w ECMO,583,APR-DRG,,inpatient,,,263998,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,263998,,,,,,,case rate,,359037,,,,,,,case rate,,263998,,,,,,,case rate,,263998,,,,,,,case rate,,263998,,,,,,,case rate,,303597,,,,,,,case rate,,290397,,,,,,,case rate,,256078,,,,,,,case rate,,263998,,,,,,,case rate,,263998,,,,,,,case rate,,271918,,,,,,,case rate,,593995,,,,,,,case rate,,256078,593995,
"Neonate, birthwt >2499g w resp dist synd/oth maj resp cond",634,APR-DRG,,inpatient,,,8265,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8265,,,,,,,case rate,,11240,,,,,,,case rate,,8265,,,,,,,case rate,,8265,,,,,,,case rate,,8265,,,,,,,case rate,,9504,,,,,,,case rate,,9091,,,,,,,case rate,,8017,,,,,,,case rate,,8265,,,,,,,case rate,,8265,,,,,,,case rate,,8512,,,,,,,case rate,,18595,,,,,,,case rate,,8017,18595,
"Neonate, birthwt >2499g w resp dist synd/oth maj resp cond",634,APR-DRG,,inpatient,,,13702,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13702,,,,,,,case rate,,18634,,,,,,,case rate,,13702,,,,,,,case rate,,13702,,,,,,,case rate,,13702,,,,,,,case rate,,15757,,,,,,,case rate,,15072,,,,,,,case rate,,13291,,,,,,,case rate,,13702,,,,,,,case rate,,13702,,,,,,,case rate,,14113,,,,,,,case rate,,30829,,,,,,,case rate,,13291,30829,
"Neonate, birthwt >2499g w resp dist synd/oth maj resp cond",634,APR-DRG,,inpatient,,,23148,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23148,,,,,,,case rate,,31481,,,,,,,case rate,,23148,,,,,,,case rate,,23148,,,,,,,case rate,,23148,,,,,,,case rate,,26620,,,,,,,case rate,,25463,,,,,,,case rate,,22454,,,,,,,case rate,,23148,,,,,,,case rate,,23148,,,,,,,case rate,,23843,,,,,,,case rate,,52083,,,,,,,case rate,,22454,52083,
"Neonate, birthwt >2499g w resp dist synd/oth maj resp cond",634,APR-DRG,,inpatient,,,41456,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41456,,,,,,,case rate,,56381,,,,,,,case rate,,41456,,,,,,,case rate,,41456,,,,,,,case rate,,41456,,,,,,,case rate,,47675,,,,,,,case rate,,45602,,,,,,,case rate,,40213,,,,,,,case rate,,41456,,,,,,,case rate,,41456,,,,,,,case rate,,42700,,,,,,,case rate,,93277,,,,,,,case rate,,40213,93277,
"Neonate, transferred < 5 days old, born here",581,APR-DRG,,inpatient,,,1403,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,1403,,,,,,,case rate,,1908,,,,,,,case rate,,1403,,,,,,,case rate,,1403,,,,,,,case rate,,1403,,,,,,,case rate,,1613,,,,,,,case rate,,1543,,,,,,,case rate,,1361,,,,,,,case rate,,1403,,,,,,,case rate,,1403,,,,,,,case rate,,1445,,,,,,,case rate,,3157,,,,,,,case rate,,1361,3157,
"Neonate, transferred < 5 days old, born here",581,APR-DRG,,inpatient,,,1910,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,1910,,,,,,,case rate,,2597,,,,,,,case rate,,1910,,,,,,,case rate,,1910,,,,,,,case rate,,1910,,,,,,,case rate,,2196,,,,,,,case rate,,2101,,,,,,,case rate,,1852,,,,,,,case rate,,1910,,,,,,,case rate,,1910,,,,,,,case rate,,1967,,,,,,,case rate,,4297,,,,,,,case rate,,1852,4297,
"Neonate, transferred < 5 days old, born here",581,APR-DRG,,inpatient,,,2816,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,2816,,,,,,,case rate,,3830,,,,,,,case rate,,2816,,,,,,,case rate,,2816,,,,,,,case rate,,2816,,,,,,,case rate,,3239,,,,,,,case rate,,3098,,,,,,,case rate,,2732,,,,,,,case rate,,2816,,,,,,,case rate,,2816,,,,,,,case rate,,2901,,,,,,,case rate,,6336,,,,,,,case rate,,2732,6336,
"Neonate, transferred < 5 days old, born here",581,APR-DRG,,inpatient,,,5083,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5083,,,,,,,case rate,,6914,,,,,,,case rate,,5083,,,,,,,case rate,,5083,,,,,,,case rate,,5083,,,,,,,case rate,,5846,,,,,,,case rate,,5592,,,,,,,case rate,,4931,,,,,,,case rate,,5083,,,,,,,case rate,,5083,,,,,,,case rate,,5236,,,,,,,case rate,,11438,,,,,,,case rate,,4931,11438,
"Neonate, transferred <5 days old, not born here",580,APR-DRG,,inpatient,,,3134,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3134,,,,,,,case rate,,4262,,,,,,,case rate,,3134,,,,,,,case rate,,3134,,,,,,,case rate,,3134,,,,,,,case rate,,3604,,,,,,,case rate,,3447,,,,,,,case rate,,3040,,,,,,,case rate,,3134,,,,,,,case rate,,3134,,,,,,,case rate,,3228,,,,,,,case rate,,7051,,,,,,,case rate,,3040,7051,
"Neonate, transferred <5 days old, not born here",580,APR-DRG,,inpatient,,,3967,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3967,,,,,,,case rate,,5396,,,,,,,case rate,,3967,,,,,,,case rate,,3967,,,,,,,case rate,,3967,,,,,,,case rate,,4562,,,,,,,case rate,,4364,,,,,,,case rate,,3848,,,,,,,case rate,,3967,,,,,,,case rate,,3967,,,,,,,case rate,,4086,,,,,,,case rate,,8926,,,,,,,case rate,,3848,8926,
"Neonate, transferred <5 days old, not born here",580,APR-DRG,,inpatient,,,5569,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5569,,,,,,,case rate,,7573,,,,,,,case rate,,5569,,,,,,,case rate,,5569,,,,,,,case rate,,5569,,,,,,,case rate,,6404,,,,,,,case rate,,6125,,,,,,,case rate,,5402,,,,,,,case rate,,5569,,,,,,,case rate,,5569,,,,,,,case rate,,5736,,,,,,,case rate,,12529,,,,,,,case rate,,5402,12529,
"Neonate, transferred <5 days old, not born here",580,APR-DRG,,inpatient,,,11441,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11441,,,,,,,case rate,,15560,,,,,,,case rate,,11441,,,,,,,case rate,,11441,,,,,,,case rate,,11441,,,,,,,case rate,,13158,,,,,,,case rate,,12586,,,,,,,case rate,,11098,,,,,,,case rate,,11441,,,,,,,case rate,,11441,,,,,,,case rate,,11785,,,,,,,case rate,,25743,,,,,,,case rate,,11098,25743,
Nephritis & nephrosis,462,APR-DRG,,inpatient,,,6066,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6066,,,,,,,case rate,,8250,,,,,,,case rate,,6066,,,,,,,case rate,,6066,,,,,,,case rate,,6066,,,,,,,case rate,,6976,,,,,,,case rate,,6673,,,,,,,case rate,,5884,,,,,,,case rate,,6066,,,,,,,case rate,,6066,,,,,,,case rate,,6248,,,,,,,case rate,,13649,,,,,,,case rate,,5884,13649,
Nephritis & nephrosis,462,APR-DRG,,inpatient,,,7368,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7368,,,,,,,case rate,,10021,,,,,,,case rate,,7368,,,,,,,case rate,,7368,,,,,,,case rate,,7368,,,,,,,case rate,,8474,,,,,,,case rate,,8105,,,,,,,case rate,,7147,,,,,,,case rate,,7368,,,,,,,case rate,,7368,,,,,,,case rate,,7589,,,,,,,case rate,,16579,,,,,,,case rate,,7147,16579,
Nephritis & nephrosis,462,APR-DRG,,inpatient,,,13000,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13000,,,,,,,case rate,,17679,,,,,,,case rate,,13000,,,,,,,case rate,,13000,,,,,,,case rate,,13000,,,,,,,case rate,,14950,,,,,,,case rate,,14300,,,,,,,case rate,,12610,,,,,,,case rate,,13000,,,,,,,case rate,,13000,,,,,,,case rate,,13390,,,,,,,case rate,,29249,,,,,,,case rate,,12610,29249,
Nephritis & nephrosis,462,APR-DRG,,inpatient,,,41298,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,41298,,,,,,,case rate,,56165,,,,,,,case rate,,41298,,,,,,,case rate,,41298,,,,,,,case rate,,41298,,,,,,,case rate,,47493,,,,,,,case rate,,45428,,,,,,,case rate,,40059,,,,,,,case rate,,41298,,,,,,,case rate,,41298,,,,,,,case rate,,42537,,,,,,,case rate,,92921,,,,,,,case rate,,40059,92921,
Nervous system malignancy,41,APR-DRG,,inpatient,,,7717,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7717,,,,,,,case rate,,10495,,,,,,,case rate,,7717,,,,,,,case rate,,7717,,,,,,,case rate,,7717,,,,,,,case rate,,8874,,,,,,,case rate,,8488,,,,,,,case rate,,7485,,,,,,,case rate,,7717,,,,,,,case rate,,7717,,,,,,,case rate,,7948,,,,,,,case rate,,17363,,,,,,,case rate,,7485,17363,
Nervous system malignancy,41,APR-DRG,,inpatient,,,8905,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8905,,,,,,,case rate,,12111,,,,,,,case rate,,8905,,,,,,,case rate,,8905,,,,,,,case rate,,8905,,,,,,,case rate,,10241,,,,,,,case rate,,9795,,,,,,,case rate,,8638,,,,,,,case rate,,8905,,,,,,,case rate,,8905,,,,,,,case rate,,9172,,,,,,,case rate,,20036,,,,,,,case rate,,8638,20036,
Nervous system malignancy,41,APR-DRG,,inpatient,,,15149,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15149,,,,,,,case rate,,20602,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,17421,,,,,,,case rate,,16664,,,,,,,case rate,,14694,,,,,,,case rate,,15149,,,,,,,case rate,,15149,,,,,,,case rate,,15603,,,,,,,case rate,,34085,,,,,,,case rate,,14694,34085,
Nervous system malignancy,41,APR-DRG,,inpatient,,,28072,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28072,,,,,,,case rate,,38178,,,,,,,case rate,,28072,,,,,,,case rate,,28072,,,,,,,case rate,,28072,,,,,,,case rate,,32283,,,,,,,case rate,,30880,,,,,,,case rate,,27230,,,,,,,case rate,,28072,,,,,,,case rate,,28072,,,,,,,case rate,,28914,,,,,,,case rate,,63163,,,,,,,case rate,,27230,63163,
Non-bacterial infections of nervous system exc viral meningitis,50,APR-DRG,,inpatient,,,7714,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7714,,,,,,,case rate,,10491,,,,,,,case rate,,7714,,,,,,,case rate,,7714,,,,,,,case rate,,7714,,,,,,,case rate,,8871,,,,,,,case rate,,8485,,,,,,,case rate,,7482,,,,,,,case rate,,7714,,,,,,,case rate,,7714,,,,,,,case rate,,7945,,,,,,,case rate,,17356,,,,,,,case rate,,7482,17356,
Non-bacterial infections of nervous system exc viral meningitis,50,APR-DRG,,inpatient,,,13901,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13901,,,,,,,case rate,,18905,,,,,,,case rate,,13901,,,,,,,case rate,,13901,,,,,,,case rate,,13901,,,,,,,case rate,,15986,,,,,,,case rate,,15291,,,,,,,case rate,,13484,,,,,,,case rate,,13901,,,,,,,case rate,,13901,,,,,,,case rate,,14318,,,,,,,case rate,,31277,,,,,,,case rate,,13484,31277,
Non-bacterial infections of nervous system exc viral meningitis,50,APR-DRG,,inpatient,,,22659,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22659,,,,,,,case rate,,30816,,,,,,,case rate,,22659,,,,,,,case rate,,22659,,,,,,,case rate,,22659,,,,,,,case rate,,26058,,,,,,,case rate,,24925,,,,,,,case rate,,21979,,,,,,,case rate,,22659,,,,,,,case rate,,22659,,,,,,,case rate,,23339,,,,,,,case rate,,50982,,,,,,,case rate,,21979,50982,
Non-bacterial infections of nervous system exc viral meningitis,50,APR-DRG,,inpatient,,,54951,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,54951,,,,,,,case rate,,74734,,,,,,,case rate,,54951,,,,,,,case rate,,54951,,,,,,,case rate,,54951,,,,,,,case rate,,63194,,,,,,,case rate,,60446,,,,,,,case rate,,53303,,,,,,,case rate,,54951,,,,,,,case rate,,54951,,,,,,,case rate,,56600,,,,,,,case rate,,123640,,,,,,,case rate,,53303,123640,
Nonextensive procedure unrelated to principal diagnosis,952,APR-DRG,,inpatient,,,8067,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8067,,,,,,,case rate,,10971,,,,,,,case rate,,8067,,,,,,,case rate,,8067,,,,,,,case rate,,8067,,,,,,,case rate,,9277,,,,,,,case rate,,8874,,,,,,,case rate,,7825,,,,,,,case rate,,8067,,,,,,,case rate,,8067,,,,,,,case rate,,8309,,,,,,,case rate,,18151,,,,,,,case rate,,7825,18151,
Nonextensive procedure unrelated to principal diagnosis,952,APR-DRG,,inpatient,,,12295,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12295,,,,,,,case rate,,16721,,,,,,,case rate,,12295,,,,,,,case rate,,12295,,,,,,,case rate,,12295,,,,,,,case rate,,14139,,,,,,,case rate,,13524,,,,,,,case rate,,11926,,,,,,,case rate,,12295,,,,,,,case rate,,12295,,,,,,,case rate,,12663,,,,,,,case rate,,27663,,,,,,,case rate,,11926,27663,
Nonextensive procedure unrelated to principal diagnosis,952,APR-DRG,,inpatient,,,25118,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25118,,,,,,,case rate,,34161,,,,,,,case rate,,25118,,,,,,,case rate,,25118,,,,,,,case rate,,25118,,,,,,,case rate,,28886,,,,,,,case rate,,27630,,,,,,,case rate,,24365,,,,,,,case rate,,25118,,,,,,,case rate,,25118,,,,,,,case rate,,25872,,,,,,,case rate,,56516,,,,,,,case rate,,24365,56516,
Nonextensive procedure unrelated to principal diagnosis,952,APR-DRG,,inpatient,,,60965,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,60965,,,,,,,case rate,,82912,,,,,,,case rate,,60965,,,,,,,case rate,,60965,,,,,,,case rate,,60965,,,,,,,case rate,,70110,,,,,,,case rate,,67061,,,,,,,case rate,,59136,,,,,,,case rate,,60965,,,,,,,case rate,,60965,,,,,,,case rate,,62794,,,,,,,case rate,,137171,,,,,,,case rate,,59136,137171,
Nonspecific CVA & precerebral occlusion w/o infarct,46,APR-DRG,,inpatient,,,6491,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6491,,,,,,,case rate,,8827,,,,,,,case rate,,6491,,,,,,,case rate,,6491,,,,,,,case rate,,6491,,,,,,,case rate,,7464,,,,,,,case rate,,7140,,,,,,,case rate,,6296,,,,,,,case rate,,6491,,,,,,,case rate,,6491,,,,,,,case rate,,6685,,,,,,,case rate,,14604,,,,,,,case rate,,6296,14604,
Nonspecific CVA & precerebral occlusion w/o infarct,46,APR-DRG,,inpatient,,,8720,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8720,,,,,,,case rate,,11859,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,10028,,,,,,,case rate,,9592,,,,,,,case rate,,8458,,,,,,,case rate,,8720,,,,,,,case rate,,8720,,,,,,,case rate,,8981,,,,,,,case rate,,19620,,,,,,,case rate,,8458,19620,
Nonspecific CVA & precerebral occlusion w/o infarct,46,APR-DRG,,inpatient,,,11365,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11365,,,,,,,case rate,,15457,,,,,,,case rate,,11365,,,,,,,case rate,,11365,,,,,,,case rate,,11365,,,,,,,case rate,,13070,,,,,,,case rate,,12502,,,,,,,case rate,,11024,,,,,,,case rate,,11365,,,,,,,case rate,,11365,,,,,,,case rate,,11706,,,,,,,case rate,,25572,,,,,,,case rate,,11024,25572,
Nonspecific CVA & precerebral occlusion w/o infarct,46,APR-DRG,,inpatient,,,11876,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11876,,,,,,,case rate,,16152,,,,,,,case rate,,11876,,,,,,,case rate,,11876,,,,,,,case rate,,11876,,,,,,,case rate,,13658,,,,,,,case rate,,13064,,,,,,,case rate,,11520,,,,,,,case rate,,11876,,,,,,,case rate,,11876,,,,,,,case rate,,12233,,,,,,,case rate,,26722,,,,,,,case rate,,11520,26722,
Nontraumatic stupor & coma,52,APR-DRG,,inpatient,,,5707,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5707,,,,,,,case rate,,7762,,,,,,,case rate,,5707,,,,,,,case rate,,5707,,,,,,,case rate,,5707,,,,,,,case rate,,6563,,,,,,,case rate,,6278,,,,,,,case rate,,5536,,,,,,,case rate,,5707,,,,,,,case rate,,5707,,,,,,,case rate,,5879,,,,,,,case rate,,12842,,,,,,,case rate,,5536,12842,
Nontraumatic stupor & coma,52,APR-DRG,,inpatient,,,7470,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7470,,,,,,,case rate,,10159,,,,,,,case rate,,7470,,,,,,,case rate,,7470,,,,,,,case rate,,7470,,,,,,,case rate,,8591,,,,,,,case rate,,8217,,,,,,,case rate,,7246,,,,,,,case rate,,7470,,,,,,,case rate,,7470,,,,,,,case rate,,7694,,,,,,,case rate,,16808,,,,,,,case rate,,7246,16808,
Nontraumatic stupor & coma,52,APR-DRG,,inpatient,,,10302,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10302,,,,,,,case rate,,14010,,,,,,,case rate,,10302,,,,,,,case rate,,10302,,,,,,,case rate,,10302,,,,,,,case rate,,11847,,,,,,,case rate,,11332,,,,,,,case rate,,9993,,,,,,,case rate,,10302,,,,,,,case rate,,10302,,,,,,,case rate,,10611,,,,,,,case rate,,23179,,,,,,,case rate,,9993,23179,
Nontraumatic stupor & coma,52,APR-DRG,,inpatient,,,23405,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23405,,,,,,,case rate,,31831,,,,,,,case rate,,23405,,,,,,,case rate,,23405,,,,,,,case rate,,23405,,,,,,,case rate,,26916,,,,,,,case rate,,25746,,,,,,,case rate,,22703,,,,,,,case rate,,23405,,,,,,,case rate,,23405,,,,,,,case rate,,24107,,,,,,,case rate,,52661,,,,,,,case rate,,22703,52661,
O.R. procedure for other complications of treatment,791,APR-DRG,,inpatient,,,8716,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8716,,,,,,,case rate,,11853,,,,,,,case rate,,8716,,,,,,,case rate,,8716,,,,,,,case rate,,8716,,,,,,,case rate,,10023,,,,,,,case rate,,9587,,,,,,,case rate,,8454,,,,,,,case rate,,8716,,,,,,,case rate,,8716,,,,,,,case rate,,8977,,,,,,,case rate,,19610,,,,,,,case rate,,8454,19610,
O.R. procedure for other complications of treatment,791,APR-DRG,,inpatient,,,14629,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14629,,,,,,,case rate,,19895,,,,,,,case rate,,14629,,,,,,,case rate,,14629,,,,,,,case rate,,14629,,,,,,,case rate,,16823,,,,,,,case rate,,16092,,,,,,,case rate,,14190,,,,,,,case rate,,14629,,,,,,,case rate,,14629,,,,,,,case rate,,15068,,,,,,,case rate,,32915,,,,,,,case rate,,14190,32915,
O.R. procedure for other complications of treatment,791,APR-DRG,,inpatient,,,27484,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27484,,,,,,,case rate,,37379,,,,,,,case rate,,27484,,,,,,,case rate,,27484,,,,,,,case rate,,27484,,,,,,,case rate,,31607,,,,,,,case rate,,30233,,,,,,,case rate,,26660,,,,,,,case rate,,27484,,,,,,,case rate,,27484,,,,,,,case rate,,28309,,,,,,,case rate,,61840,,,,,,,case rate,,26660,61840,
O.R. procedure for other complications of treatment,791,APR-DRG,,inpatient,,,67945,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,67945,,,,,,,case rate,,92405,,,,,,,case rate,,67945,,,,,,,case rate,,67945,,,,,,,case rate,,67945,,,,,,,case rate,,78136,,,,,,,case rate,,74739,,,,,,,case rate,,65906,,,,,,,case rate,,67945,,,,,,,case rate,,67945,,,,,,,case rate,,69983,,,,,,,case rate,,152876,,,,,,,case rate,,65906,152876,
Opioid abuse & dependence,773,APR-DRG,,inpatient,,,3766,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3766,,,,,,,case rate,,5122,,,,,,,case rate,,3766,,,,,,,case rate,,3766,,,,,,,case rate,,3766,,,,,,,case rate,,4331,,,,,,,case rate,,4142,,,,,,,case rate,,3653,,,,,,,case rate,,3766,,,,,,,case rate,,3766,,,,,,,case rate,,3879,,,,,,,case rate,,8473,,,,,,,case rate,,3653,8473,
Opioid abuse & dependence,773,APR-DRG,,inpatient,,,5124,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5124,,,,,,,case rate,,6968,,,,,,,case rate,,5124,,,,,,,case rate,,5124,,,,,,,case rate,,5124,,,,,,,case rate,,5892,,,,,,,case rate,,5636,,,,,,,case rate,,4970,,,,,,,case rate,,5124,,,,,,,case rate,,5124,,,,,,,case rate,,5277,,,,,,,case rate,,11528,,,,,,,case rate,,4970,11528,
Opioid abuse & dependence,773,APR-DRG,,inpatient,,,11642,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11642,,,,,,,case rate,,15833,,,,,,,case rate,,11642,,,,,,,case rate,,11642,,,,,,,case rate,,11642,,,,,,,case rate,,13388,,,,,,,case rate,,12806,,,,,,,case rate,,11293,,,,,,,case rate,,11642,,,,,,,case rate,,11642,,,,,,,case rate,,11991,,,,,,,case rate,,26194,,,,,,,case rate,,11293,26194,
Opioid abuse & dependence,773,APR-DRG,,inpatient,,,13363,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13363,,,,,,,case rate,,18174,,,,,,,case rate,,13363,,,,,,,case rate,,13363,,,,,,,case rate,,13363,,,,,,,case rate,,15368,,,,,,,case rate,,14700,,,,,,,case rate,,12963,,,,,,,case rate,,13363,,,,,,,case rate,,13363,,,,,,,case rate,,13764,,,,,,,case rate,,30068,,,,,,,case rate,,12963,30068,
Orbital procedures,70,APR-DRG,,inpatient,,,8266,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8266,,,,,,,case rate,,11241,,,,,,,case rate,,8266,,,,,,,case rate,,8266,,,,,,,case rate,,8266,,,,,,,case rate,,9505,,,,,,,case rate,,9092,,,,,,,case rate,,8018,,,,,,,case rate,,8266,,,,,,,case rate,,8266,,,,,,,case rate,,8514,,,,,,,case rate,,18598,,,,,,,case rate,,8018,18598,
Orbital procedures,70,APR-DRG,,inpatient,,,12681,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12681,,,,,,,case rate,,17246,,,,,,,case rate,,12681,,,,,,,case rate,,12681,,,,,,,case rate,,12681,,,,,,,case rate,,14583,,,,,,,case rate,,13949,,,,,,,case rate,,12301,,,,,,,case rate,,12681,,,,,,,case rate,,12681,,,,,,,case rate,,13061,,,,,,,case rate,,28532,,,,,,,case rate,,12301,28532,
Orbital procedures,70,APR-DRG,,inpatient,,,20956,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20956,,,,,,,case rate,,28500,,,,,,,case rate,,20956,,,,,,,case rate,,20956,,,,,,,case rate,,20956,,,,,,,case rate,,24099,,,,,,,case rate,,23051,,,,,,,case rate,,20327,,,,,,,case rate,,20956,,,,,,,case rate,,20956,,,,,,,case rate,,21584,,,,,,,case rate,,47151,,,,,,,case rate,,20327,47151,
Orbital procedures,70,APR-DRG,,inpatient,,,23852,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23852,,,,,,,case rate,,32439,,,,,,,case rate,,23852,,,,,,,case rate,,23852,,,,,,,case rate,,23852,,,,,,,case rate,,27430,,,,,,,case rate,,26237,,,,,,,case rate,,23137,,,,,,,case rate,,23852,,,,,,,case rate,,23852,,,,,,,case rate,,24568,,,,,,,case rate,,53667,,,,,,,case rate,,23137,53667,
Organic mental health disturbances,757,APR-DRG,,inpatient,,,8293,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8293,,,,,,,case rate,,11279,,,,,,,case rate,,8293,,,,,,,case rate,,8293,,,,,,,case rate,,8293,,,,,,,case rate,,9537,,,,,,,case rate,,9123,,,,,,,case rate,,8045,,,,,,,case rate,,8293,,,,,,,case rate,,8293,,,,,,,case rate,,8542,,,,,,,case rate,,18660,,,,,,,case rate,,8045,18660,
Organic mental health disturbances,757,APR-DRG,,inpatient,,,8293,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8293,,,,,,,case rate,,11279,,,,,,,case rate,,8293,,,,,,,case rate,,8293,,,,,,,case rate,,8293,,,,,,,case rate,,9537,,,,,,,case rate,,9123,,,,,,,case rate,,8045,,,,,,,case rate,,8293,,,,,,,case rate,,8293,,,,,,,case rate,,8542,,,,,,,case rate,,18660,,,,,,,case rate,,8045,18660,
Organic mental health disturbances,757,APR-DRG,,inpatient,,,9905,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9905,,,,,,,case rate,,13471,,,,,,,case rate,,9905,,,,,,,case rate,,9905,,,,,,,case rate,,9905,,,,,,,case rate,,11391,,,,,,,case rate,,10895,,,,,,,case rate,,9608,,,,,,,case rate,,9905,,,,,,,case rate,,9905,,,,,,,case rate,,10202,,,,,,,case rate,,22286,,,,,,,case rate,,9608,22286,
Organic mental health disturbances,757,APR-DRG,,inpatient,,,9905,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9905,,,,,,,case rate,,13471,,,,,,,case rate,,9905,,,,,,,case rate,,9905,,,,,,,case rate,,9905,,,,,,,case rate,,11391,,,,,,,case rate,,10895,,,,,,,case rate,,9608,,,,,,,case rate,,9905,,,,,,,case rate,,9905,,,,,,,case rate,,10202,,,,,,,case rate,,22286,,,,,,,case rate,,9608,22286,
"Osteomyelitis, septic arthritis & other musculoskeletal infections",344,APR-DRG,,inpatient,,,8265,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8265,,,,,,,case rate,,11240,,,,,,,case rate,,8265,,,,,,,case rate,,8265,,,,,,,case rate,,8265,,,,,,,case rate,,9504,,,,,,,case rate,,9091,,,,,,,case rate,,8017,,,,,,,case rate,,8265,,,,,,,case rate,,8265,,,,,,,case rate,,8512,,,,,,,case rate,,18595,,,,,,,case rate,,8017,18595,
"Osteomyelitis, septic arthritis & other musculoskeletal infections",344,APR-DRG,,inpatient,,,11818,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11818,,,,,,,case rate,,16072,,,,,,,case rate,,11818,,,,,,,case rate,,11818,,,,,,,case rate,,11818,,,,,,,case rate,,13590,,,,,,,case rate,,12999,,,,,,,case rate,,11463,,,,,,,case rate,,11818,,,,,,,case rate,,11818,,,,,,,case rate,,12172,,,,,,,case rate,,26590,,,,,,,case rate,,11463,26590,
"Osteomyelitis, septic arthritis & other musculoskeletal infections",344,APR-DRG,,inpatient,,,18330,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18330,,,,,,,case rate,,24929,,,,,,,case rate,,18330,,,,,,,case rate,,18330,,,,,,,case rate,,18330,,,,,,,case rate,,21079,,,,,,,case rate,,20163,,,,,,,case rate,,17780,,,,,,,case rate,,18330,,,,,,,case rate,,18330,,,,,,,case rate,,18880,,,,,,,case rate,,41242,,,,,,,case rate,,17780,41242,
"Osteomyelitis, septic arthritis & other musculoskeletal infections",344,APR-DRG,,inpatient,,,35282,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35282,,,,,,,case rate,,47984,,,,,,,case rate,,35282,,,,,,,case rate,,35282,,,,,,,case rate,,35282,,,,,,,case rate,,40575,,,,,,,case rate,,38811,,,,,,,case rate,,34224,,,,,,,case rate,,35282,,,,,,,case rate,,35282,,,,,,,case rate,,36341,,,,,,,case rate,,79385,,,,,,,case rate,,34224,79385,
Other & unspecified gastrointestinal hemorrhage,253,APR-DRG,,inpatient,,,6274,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6274,,,,,,,case rate,,8532,,,,,,,case rate,,6274,,,,,,,case rate,,6274,,,,,,,case rate,,6274,,,,,,,case rate,,7215,,,,,,,case rate,,6901,,,,,,,case rate,,6085,,,,,,,case rate,,6274,,,,,,,case rate,,6274,,,,,,,case rate,,6462,,,,,,,case rate,,14116,,,,,,,case rate,,6085,14116,
Other & unspecified gastrointestinal hemorrhage,253,APR-DRG,,inpatient,,,8380,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8380,,,,,,,case rate,,11396,,,,,,,case rate,,8380,,,,,,,case rate,,8380,,,,,,,case rate,,8380,,,,,,,case rate,,9637,,,,,,,case rate,,9218,,,,,,,case rate,,8128,,,,,,,case rate,,8380,,,,,,,case rate,,8380,,,,,,,case rate,,8631,,,,,,,case rate,,18854,,,,,,,case rate,,8128,18854,
Other & unspecified gastrointestinal hemorrhage,253,APR-DRG,,inpatient,,,13739,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13739,,,,,,,case rate,,18684,,,,,,,case rate,,13739,,,,,,,case rate,,13739,,,,,,,case rate,,13739,,,,,,,case rate,,15799,,,,,,,case rate,,15112,,,,,,,case rate,,13326,,,,,,,case rate,,13739,,,,,,,case rate,,13739,,,,,,,case rate,,14151,,,,,,,case rate,,30912,,,,,,,case rate,,13326,30912,
Other & unspecified gastrointestinal hemorrhage,253,APR-DRG,,inpatient,,,24317,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24317,,,,,,,case rate,,33071,,,,,,,case rate,,24317,,,,,,,case rate,,24317,,,,,,,case rate,,24317,,,,,,,case rate,,27964,,,,,,,case rate,,26748,,,,,,,case rate,,23587,,,,,,,case rate,,24317,,,,,,,case rate,,24317,,,,,,,case rate,,25046,,,,,,,case rate,,54713,,,,,,,case rate,,23587,54713,
Other aftercare & convalescence,862,APR-DRG,,inpatient,,,5263,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5263,,,,,,,case rate,,7158,,,,,,,case rate,,5263,,,,,,,case rate,,5263,,,,,,,case rate,,5263,,,,,,,case rate,,6053,,,,,,,case rate,,5790,,,,,,,case rate,,5105,,,,,,,case rate,,5263,,,,,,,case rate,,5263,,,,,,,case rate,,5421,,,,,,,case rate,,11843,,,,,,,case rate,,5105,11843,
Other aftercare & convalescence,862,APR-DRG,,inpatient,,,7540,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7540,,,,,,,case rate,,10254,,,,,,,case rate,,7540,,,,,,,case rate,,7540,,,,,,,case rate,,7540,,,,,,,case rate,,8671,,,,,,,case rate,,8294,,,,,,,case rate,,7314,,,,,,,case rate,,7540,,,,,,,case rate,,7540,,,,,,,case rate,,7766,,,,,,,case rate,,16965,,,,,,,case rate,,7314,16965,
Other aftercare & convalescence,862,APR-DRG,,inpatient,,,12624,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12624,,,,,,,case rate,,17169,,,,,,,case rate,,12624,,,,,,,case rate,,12624,,,,,,,case rate,,12624,,,,,,,case rate,,14518,,,,,,,case rate,,13887,,,,,,,case rate,,12246,,,,,,,case rate,,12624,,,,,,,case rate,,12624,,,,,,,case rate,,13003,,,,,,,case rate,,28405,,,,,,,case rate,,12246,28405,
Other aftercare & convalescence,862,APR-DRG,,inpatient,,,22021,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22021,,,,,,,case rate,,29948,,,,,,,case rate,,22021,,,,,,,case rate,,22021,,,,,,,case rate,,22021,,,,,,,case rate,,25324,,,,,,,case rate,,24223,,,,,,,case rate,,21360,,,,,,,case rate,,22021,,,,,,,case rate,,22021,,,,,,,case rate,,22681,,,,,,,case rate,,49546,,,,,,,case rate,,21360,49546,
Other anemia & disorders of blood & blood-forming organs,663,APR-DRG,,inpatient,,,5276,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5276,,,,,,,case rate,,7175,,,,,,,case rate,,5276,,,,,,,case rate,,5276,,,,,,,case rate,,5276,,,,,,,case rate,,6067,,,,,,,case rate,,5803,,,,,,,case rate,,5117,,,,,,,case rate,,5276,,,,,,,case rate,,5276,,,,,,,case rate,,5434,,,,,,,case rate,,11870,,,,,,,case rate,,5117,11870,
Other anemia & disorders of blood & blood-forming organs,663,APR-DRG,,inpatient,,,7242,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7242,,,,,,,case rate,,9849,,,,,,,case rate,,7242,,,,,,,case rate,,7242,,,,,,,case rate,,7242,,,,,,,case rate,,8328,,,,,,,case rate,,7966,,,,,,,case rate,,7025,,,,,,,case rate,,7242,,,,,,,case rate,,7242,,,,,,,case rate,,7459,,,,,,,case rate,,16294,,,,,,,case rate,,7025,16294,
Other anemia & disorders of blood & blood-forming organs,663,APR-DRG,,inpatient,,,11413,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11413,,,,,,,case rate,,15521,,,,,,,case rate,,11413,,,,,,,case rate,,11413,,,,,,,case rate,,11413,,,,,,,case rate,,13125,,,,,,,case rate,,12554,,,,,,,case rate,,11070,,,,,,,case rate,,11413,,,,,,,case rate,,11413,,,,,,,case rate,,11755,,,,,,,case rate,,25679,,,,,,,case rate,,11070,25679,
Other anemia & disorders of blood & blood-forming organs,663,APR-DRG,,inpatient,,,24209,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24209,,,,,,,case rate,,32924,,,,,,,case rate,,24209,,,,,,,case rate,,24209,,,,,,,case rate,,24209,,,,,,,case rate,,27840,,,,,,,case rate,,26630,,,,,,,case rate,,23483,,,,,,,case rate,,24209,,,,,,,case rate,,24209,,,,,,,case rate,,24935,,,,,,,case rate,,54470,,,,,,,case rate,,23483,54470,
Other antepartum diagnoses,566,APR-DRG,,inpatient,,,3502,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3502,,,,,,,case rate,,4762,,,,,,,case rate,,3502,,,,,,,case rate,,3502,,,,,,,case rate,,3502,,,,,,,case rate,,4027,,,,,,,case rate,,3852,,,,,,,case rate,,3397,,,,,,,case rate,,3502,,,,,,,case rate,,3502,,,,,,,case rate,,3607,,,,,,,case rate,,7879,,,,,,,case rate,,3397,7879,
Other antepartum diagnoses,566,APR-DRG,,inpatient,,,4583,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4583,,,,,,,case rate,,6233,,,,,,,case rate,,4583,,,,,,,case rate,,4583,,,,,,,case rate,,4583,,,,,,,case rate,,5270,,,,,,,case rate,,5041,,,,,,,case rate,,4445,,,,,,,case rate,,4583,,,,,,,case rate,,4583,,,,,,,case rate,,4720,,,,,,,case rate,,10312,,,,,,,case rate,,4445,10312,
Other antepartum diagnoses,566,APR-DRG,,inpatient,,,6743,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6743,,,,,,,case rate,,9171,,,,,,,case rate,,6743,,,,,,,case rate,,6743,,,,,,,case rate,,6743,,,,,,,case rate,,7755,,,,,,,case rate,,7418,,,,,,,case rate,,6541,,,,,,,case rate,,6743,,,,,,,case rate,,6743,,,,,,,case rate,,6946,,,,,,,case rate,,15173,,,,,,,case rate,,6541,15173,
Other antepartum diagnoses,566,APR-DRG,,inpatient,,,13997,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13997,,,,,,,case rate,,19035,,,,,,,case rate,,13997,,,,,,,case rate,,13997,,,,,,,case rate,,13997,,,,,,,case rate,,16096,,,,,,,case rate,,15396,,,,,,,case rate,,13577,,,,,,,case rate,,13997,,,,,,,case rate,,13997,,,,,,,case rate,,14416,,,,,,,case rate,,31492,,,,,,,case rate,,13577,31492,
"Other back & neck disorders, fractures & injuries",347,APR-DRG,,inpatient,,,5644,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5644,,,,,,,case rate,,7675,,,,,,,case rate,,5644,,,,,,,case rate,,5644,,,,,,,case rate,,5644,,,,,,,case rate,,6490,,,,,,,case rate,,6208,,,,,,,case rate,,5474,,,,,,,case rate,,5644,,,,,,,case rate,,5644,,,,,,,case rate,,5813,,,,,,,case rate,,12698,,,,,,,case rate,,5474,12698,
"Other back & neck disorders, fractures & injuries",347,APR-DRG,,inpatient,,,7654,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7654,,,,,,,case rate,,10409,,,,,,,case rate,,7654,,,,,,,case rate,,7654,,,,,,,case rate,,7654,,,,,,,case rate,,8802,,,,,,,case rate,,8419,,,,,,,case rate,,7424,,,,,,,case rate,,7654,,,,,,,case rate,,7654,,,,,,,case rate,,7884,,,,,,,case rate,,17222,,,,,,,case rate,,7424,17222,
"Other back & neck disorders, fractures & injuries",347,APR-DRG,,inpatient,,,11549,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11549,,,,,,,case rate,,15707,,,,,,,case rate,,11549,,,,,,,case rate,,11549,,,,,,,case rate,,11549,,,,,,,case rate,,13282,,,,,,,case rate,,12704,,,,,,,case rate,,11203,,,,,,,case rate,,11549,,,,,,,case rate,,11549,,,,,,,case rate,,11896,,,,,,,case rate,,25986,,,,,,,case rate,,11203,25986,
"Other back & neck disorders, fractures & injuries",347,APR-DRG,,inpatient,,,32430,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32430,,,,,,,case rate,,44105,,,,,,,case rate,,32430,,,,,,,case rate,,32430,,,,,,,case rate,,32430,,,,,,,case rate,,37295,,,,,,,case rate,,35673,,,,,,,case rate,,31457,,,,,,,case rate,,32430,,,,,,,case rate,,32430,,,,,,,case rate,,33403,,,,,,,case rate,,72968,,,,,,,case rate,,31457,72968,
Other bladder procedures,445,APR-DRG,,inpatient,,,8442,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8442,,,,,,,case rate,,11482,,,,,,,case rate,,8442,,,,,,,case rate,,8442,,,,,,,case rate,,8442,,,,,,,case rate,,9709,,,,,,,case rate,,9287,,,,,,,case rate,,8189,,,,,,,case rate,,8442,,,,,,,case rate,,8442,,,,,,,case rate,,8696,,,,,,,case rate,,18995,,,,,,,case rate,,8189,18995,
Other bladder procedures,445,APR-DRG,,inpatient,,,13044,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13044,,,,,,,case rate,,17740,,,,,,,case rate,,13044,,,,,,,case rate,,13044,,,,,,,case rate,,13044,,,,,,,case rate,,15000,,,,,,,case rate,,14348,,,,,,,case rate,,12652,,,,,,,case rate,,13044,,,,,,,case rate,,13044,,,,,,,case rate,,13435,,,,,,,case rate,,29349,,,,,,,case rate,,12652,29349,
Other bladder procedures,445,APR-DRG,,inpatient,,,19249,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19249,,,,,,,case rate,,26178,,,,,,,case rate,,19249,,,,,,,case rate,,19249,,,,,,,case rate,,19249,,,,,,,case rate,,22136,,,,,,,case rate,,21174,,,,,,,case rate,,18671,,,,,,,case rate,,19249,,,,,,,case rate,,19249,,,,,,,case rate,,19826,,,,,,,case rate,,43309,,,,,,,case rate,,18671,43309,
Other bladder procedures,445,APR-DRG,,inpatient,,,25177,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25177,,,,,,,case rate,,34241,,,,,,,case rate,,25177,,,,,,,case rate,,25177,,,,,,,case rate,,25177,,,,,,,case rate,,28954,,,,,,,case rate,,27695,,,,,,,case rate,,24422,,,,,,,case rate,,25177,,,,,,,case rate,,25177,,,,,,,case rate,,25932,,,,,,,case rate,,56648,,,,,,,case rate,,24422,56648,
Other cardiothoracic & thoracic vascular procedures,167,APR-DRG,,inpatient,,,24931,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24931,,,,,,,case rate,,33907,,,,,,,case rate,,24931,,,,,,,case rate,,24931,,,,,,,case rate,,24931,,,,,,,case rate,,28671,,,,,,,case rate,,27424,,,,,,,case rate,,24183,,,,,,,case rate,,24931,,,,,,,case rate,,24931,,,,,,,case rate,,25679,,,,,,,case rate,,56096,,,,,,,case rate,,24183,56096,
Other cardiothoracic & thoracic vascular procedures,167,APR-DRG,,inpatient,,,29186,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29186,,,,,,,case rate,,39694,,,,,,,case rate,,29186,,,,,,,case rate,,29186,,,,,,,case rate,,29186,,,,,,,case rate,,33564,,,,,,,case rate,,32105,,,,,,,case rate,,28311,,,,,,,case rate,,29186,,,,,,,case rate,,29186,,,,,,,case rate,,30062,,,,,,,case rate,,65669,,,,,,,case rate,,28311,65669,
Other cardiothoracic & thoracic vascular procedures,167,APR-DRG,,inpatient,,,37835,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37835,,,,,,,case rate,,51456,,,,,,,case rate,,37835,,,,,,,case rate,,37835,,,,,,,case rate,,37835,,,,,,,case rate,,43511,,,,,,,case rate,,41619,,,,,,,case rate,,36700,,,,,,,case rate,,37835,,,,,,,case rate,,37835,,,,,,,case rate,,38970,,,,,,,case rate,,85130,,,,,,,case rate,,36700,85130,
Other cardiothoracic & thoracic vascular procedures,167,APR-DRG,,inpatient,,,68155,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,68155,,,,,,,case rate,,92691,,,,,,,case rate,,68155,,,,,,,case rate,,68155,,,,,,,case rate,,68155,,,,,,,case rate,,78379,,,,,,,case rate,,74971,,,,,,,case rate,,66111,,,,,,,case rate,,68155,,,,,,,case rate,,68155,,,,,,,case rate,,70200,,,,,,,case rate,,153350,,,,,,,case rate,,66111,153350,
Other Chemotherapy #,696,APR-DRG,,inpatient,,,7677,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7677,,,,,,,case rate,,10440,,,,,,,case rate,,7677,,,,,,,case rate,,7677,,,,,,,case rate,,7677,,,,,,,case rate,,8828,,,,,,,case rate,,8444,,,,,,,case rate,,7446,,,,,,,case rate,,7677,,,,,,,case rate,,7677,,,,,,,case rate,,7907,,,,,,,case rate,,17272,,,,,,,case rate,,7446,17272,
Other Chemotherapy #,696,APR-DRG,,inpatient,,,10323,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10323,,,,,,,case rate,,14040,,,,,,,case rate,,10323,,,,,,,case rate,,10323,,,,,,,case rate,,10323,,,,,,,case rate,,11872,,,,,,,case rate,,11356,,,,,,,case rate,,10014,,,,,,,case rate,,10323,,,,,,,case rate,,10323,,,,,,,case rate,,10633,,,,,,,case rate,,23227,,,,,,,case rate,,10014,23227,
Other Chemotherapy #,696,APR-DRG,,inpatient,,,15571,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15571,,,,,,,case rate,,21177,,,,,,,case rate,,15571,,,,,,,case rate,,15571,,,,,,,case rate,,15571,,,,,,,case rate,,17907,,,,,,,case rate,,17128,,,,,,,case rate,,15104,,,,,,,case rate,,15571,,,,,,,case rate,,15571,,,,,,,case rate,,16038,,,,,,,case rate,,35035,,,,,,,case rate,,15104,35035,
Other Chemotherapy #,696,APR-DRG,,inpatient,,,45166,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,45166,,,,,,,case rate,,61425,,,,,,,case rate,,45166,,,,,,,case rate,,45166,,,,,,,case rate,,45166,,,,,,,case rate,,51940,,,,,,,case rate,,49682,,,,,,,case rate,,43811,,,,,,,case rate,,45166,,,,,,,case rate,,45166,,,,,,,case rate,,46521,,,,,,,case rate,,101623,,,,,,,case rate,,43811,101623,
Other circulatory system diagnoses,207,APR-DRG,,inpatient,,,5025,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5025,,,,,,,case rate,,6834,,,,,,,case rate,,5025,,,,,,,case rate,,5025,,,,,,,case rate,,5025,,,,,,,case rate,,5779,,,,,,,case rate,,5527,,,,,,,case rate,,4874,,,,,,,case rate,,5025,,,,,,,case rate,,5025,,,,,,,case rate,,5176,,,,,,,case rate,,11306,,,,,,,case rate,,4874,11306,
Other circulatory system diagnoses,207,APR-DRG,,inpatient,,,7370,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7370,,,,,,,case rate,,10024,,,,,,,case rate,,7370,,,,,,,case rate,,7370,,,,,,,case rate,,7370,,,,,,,case rate,,8476,,,,,,,case rate,,8107,,,,,,,case rate,,7149,,,,,,,case rate,,7370,,,,,,,case rate,,7370,,,,,,,case rate,,7591,,,,,,,case rate,,16583,,,,,,,case rate,,7149,16583,
Other circulatory system diagnoses,207,APR-DRG,,inpatient,,,12363,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12363,,,,,,,case rate,,16814,,,,,,,case rate,,12363,,,,,,,case rate,,12363,,,,,,,case rate,,12363,,,,,,,case rate,,14218,,,,,,,case rate,,13600,,,,,,,case rate,,11993,,,,,,,case rate,,12363,,,,,,,case rate,,12363,,,,,,,case rate,,12734,,,,,,,case rate,,27818,,,,,,,case rate,,11993,27818,
Other circulatory system diagnoses,207,APR-DRG,,inpatient,,,25973,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25973,,,,,,,case rate,,35323,,,,,,,case rate,,25973,,,,,,,case rate,,25973,,,,,,,case rate,,25973,,,,,,,case rate,,29868,,,,,,,case rate,,28570,,,,,,,case rate,,25193,,,,,,,case rate,,25973,,,,,,,case rate,,25973,,,,,,,case rate,,26752,,,,,,,case rate,,58438,,,,,,,case rate,,25193,58438,
Other circulatory system procedures,180,APR-DRG,,inpatient,,,11707,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11707,,,,,,,case rate,,15921,,,,,,,case rate,,11707,,,,,,,case rate,,11707,,,,,,,case rate,,11707,,,,,,,case rate,,13463,,,,,,,case rate,,12877,,,,,,,case rate,,11355,,,,,,,case rate,,11707,,,,,,,case rate,,11707,,,,,,,case rate,,12058,,,,,,,case rate,,26340,,,,,,,case rate,,11355,26340,
Other circulatory system procedures,180,APR-DRG,,inpatient,,,16920,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16920,,,,,,,case rate,,23011,,,,,,,case rate,,16920,,,,,,,case rate,,16920,,,,,,,case rate,,16920,,,,,,,case rate,,19458,,,,,,,case rate,,18612,,,,,,,case rate,,16412,,,,,,,case rate,,16920,,,,,,,case rate,,16920,,,,,,,case rate,,17427,,,,,,,case rate,,38069,,,,,,,case rate,,16412,38069,
Other circulatory system procedures,180,APR-DRG,,inpatient,,,24868,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24868,,,,,,,case rate,,33820,,,,,,,case rate,,24868,,,,,,,case rate,,24868,,,,,,,case rate,,24868,,,,,,,case rate,,28598,,,,,,,case rate,,27354,,,,,,,case rate,,24122,,,,,,,case rate,,24868,,,,,,,case rate,,24868,,,,,,,case rate,,25614,,,,,,,case rate,,55952,,,,,,,case rate,,24122,55952,
Other circulatory system procedures,180,APR-DRG,,inpatient,,,49531,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,49531,,,,,,,case rate,,67362,,,,,,,case rate,,49531,,,,,,,case rate,,49531,,,,,,,case rate,,49531,,,,,,,case rate,,56960,,,,,,,case rate,,54484,,,,,,,case rate,,48045,,,,,,,case rate,,49531,,,,,,,case rate,,49531,,,,,,,case rate,,51017,,,,,,,case rate,,111444,,,,,,,case rate,,48045,111444,
Other complications of treatment,813,APR-DRG,,inpatient,,,5113,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5113,,,,,,,case rate,,6954,,,,,,,case rate,,5113,,,,,,,case rate,,5113,,,,,,,case rate,,5113,,,,,,,case rate,,5880,,,,,,,case rate,,5625,,,,,,,case rate,,4960,,,,,,,case rate,,5113,,,,,,,case rate,,5113,,,,,,,case rate,,5267,,,,,,,case rate,,11505,,,,,,,case rate,,4960,11505,
Other complications of treatment,813,APR-DRG,,inpatient,,,7062,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7062,,,,,,,case rate,,9604,,,,,,,case rate,,7062,,,,,,,case rate,,7062,,,,,,,case rate,,7062,,,,,,,case rate,,8121,,,,,,,case rate,,7768,,,,,,,case rate,,6850,,,,,,,case rate,,7062,,,,,,,case rate,,7062,,,,,,,case rate,,7274,,,,,,,case rate,,15890,,,,,,,case rate,,6850,15890,
Other complications of treatment,813,APR-DRG,,inpatient,,,11697,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11697,,,,,,,case rate,,15908,,,,,,,case rate,,11697,,,,,,,case rate,,11697,,,,,,,case rate,,11697,,,,,,,case rate,,13452,,,,,,,case rate,,12867,,,,,,,case rate,,11346,,,,,,,case rate,,11697,,,,,,,case rate,,11697,,,,,,,case rate,,12048,,,,,,,case rate,,26319,,,,,,,case rate,,11346,26319,
Other complications of treatment,813,APR-DRG,,inpatient,,,26863,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26863,,,,,,,case rate,,36533,,,,,,,case rate,,26863,,,,,,,case rate,,26863,,,,,,,case rate,,26863,,,,,,,case rate,,30892,,,,,,,case rate,,29549,,,,,,,case rate,,26057,,,,,,,case rate,,26863,,,,,,,case rate,,26863,,,,,,,case rate,,27668,,,,,,,case rate,,60441,,,,,,,case rate,,26057,60441,
Other digestive system & abdominal procedures,229,APR-DRG,,inpatient,,,10497,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10497,,,,,,,case rate,,14276,,,,,,,case rate,,10497,,,,,,,case rate,,10497,,,,,,,case rate,,10497,,,,,,,case rate,,12071,,,,,,,case rate,,11547,,,,,,,case rate,,10182,,,,,,,case rate,,10497,,,,,,,case rate,,10497,,,,,,,case rate,,10812,,,,,,,case rate,,23618,,,,,,,case rate,,10182,23618,
Other digestive system & abdominal procedures,229,APR-DRG,,inpatient,,,15213,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15213,,,,,,,case rate,,20690,,,,,,,case rate,,15213,,,,,,,case rate,,15213,,,,,,,case rate,,15213,,,,,,,case rate,,17496,,,,,,,case rate,,16735,,,,,,,case rate,,14757,,,,,,,case rate,,15213,,,,,,,case rate,,15213,,,,,,,case rate,,15670,,,,,,,case rate,,34230,,,,,,,case rate,,14757,34230,
Other digestive system & abdominal procedures,229,APR-DRG,,inpatient,,,26781,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26781,,,,,,,case rate,,36423,,,,,,,case rate,,26781,,,,,,,case rate,,26781,,,,,,,case rate,,26781,,,,,,,case rate,,30799,,,,,,,case rate,,29460,,,,,,,case rate,,25978,,,,,,,case rate,,26781,,,,,,,case rate,,26781,,,,,,,case rate,,27585,,,,,,,case rate,,60258,,,,,,,case rate,,25978,60258,
Other digestive system & abdominal procedures,229,APR-DRG,,inpatient,,,59477,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,59477,,,,,,,case rate,,80888,,,,,,,case rate,,59477,,,,,,,case rate,,59477,,,,,,,case rate,,59477,,,,,,,case rate,,68398,,,,,,,case rate,,65424,,,,,,,case rate,,57692,,,,,,,case rate,,59477,,,,,,,case rate,,59477,,,,,,,case rate,,61261,,,,,,,case rate,,133823,,,,,,,case rate,,57692,133823,
Other digestive system diagnoses,254,APR-DRG,,inpatient,,,5133,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5133,,,,,,,case rate,,6981,,,,,,,case rate,,5133,,,,,,,case rate,,5133,,,,,,,case rate,,5133,,,,,,,case rate,,5903,,,,,,,case rate,,5646,,,,,,,case rate,,4979,,,,,,,case rate,,5133,,,,,,,case rate,,5133,,,,,,,case rate,,5287,,,,,,,case rate,,11549,,,,,,,case rate,,4979,11549,
Other digestive system diagnoses,254,APR-DRG,,inpatient,,,7418,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7418,,,,,,,case rate,,10088,,,,,,,case rate,,7418,,,,,,,case rate,,7418,,,,,,,case rate,,7418,,,,,,,case rate,,8530,,,,,,,case rate,,8159,,,,,,,case rate,,7195,,,,,,,case rate,,7418,,,,,,,case rate,,7418,,,,,,,case rate,,7640,,,,,,,case rate,,16690,,,,,,,case rate,,7195,16690,
Other digestive system diagnoses,254,APR-DRG,,inpatient,,,12463,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12463,,,,,,,case rate,,16950,,,,,,,case rate,,12463,,,,,,,case rate,,12463,,,,,,,case rate,,12463,,,,,,,case rate,,14333,,,,,,,case rate,,13709,,,,,,,case rate,,12089,,,,,,,case rate,,12463,,,,,,,case rate,,12463,,,,,,,case rate,,12837,,,,,,,case rate,,28042,,,,,,,case rate,,12089,28042,
Other digestive system diagnoses,254,APR-DRG,,inpatient,,,26806,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26806,,,,,,,case rate,,36456,,,,,,,case rate,,26806,,,,,,,case rate,,26806,,,,,,,case rate,,26806,,,,,,,case rate,,30827,,,,,,,case rate,,29487,,,,,,,case rate,,26002,,,,,,,case rate,,26806,,,,,,,case rate,,26806,,,,,,,case rate,,27610,,,,,,,case rate,,60314,,,,,,,case rate,,26002,60314,
Other disorders of nervous system,58,APR-DRG,,inpatient,,,5535,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5535,,,,,,,case rate,,7527,,,,,,,case rate,,5535,,,,,,,case rate,,5535,,,,,,,case rate,,5535,,,,,,,case rate,,6365,,,,,,,case rate,,6088,,,,,,,case rate,,5369,,,,,,,case rate,,5535,,,,,,,case rate,,5535,,,,,,,case rate,,5701,,,,,,,case rate,,12453,,,,,,,case rate,,5369,12453,
Other disorders of nervous system,58,APR-DRG,,inpatient,,,8047,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8047,,,,,,,case rate,,10943,,,,,,,case rate,,8047,,,,,,,case rate,,8047,,,,,,,case rate,,8047,,,,,,,case rate,,9254,,,,,,,case rate,,8851,,,,,,,case rate,,7805,,,,,,,case rate,,8047,,,,,,,case rate,,8047,,,,,,,case rate,,8288,,,,,,,case rate,,18105,,,,,,,case rate,,7805,18105,
Other disorders of nervous system,58,APR-DRG,,inpatient,,,12994,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12994,,,,,,,case rate,,17672,,,,,,,case rate,,12994,,,,,,,case rate,,12994,,,,,,,case rate,,12994,,,,,,,case rate,,14944,,,,,,,case rate,,14294,,,,,,,case rate,,12605,,,,,,,case rate,,12994,,,,,,,case rate,,12994,,,,,,,case rate,,13384,,,,,,,case rate,,29238,,,,,,,case rate,,12605,29238,
Other disorders of nervous system,58,APR-DRG,,inpatient,,,34825,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34825,,,,,,,case rate,,47362,,,,,,,case rate,,34825,,,,,,,case rate,,34825,,,,,,,case rate,,34825,,,,,,,case rate,,40049,,,,,,,case rate,,38307,,,,,,,case rate,,33780,,,,,,,case rate,,34825,,,,,,,case rate,,34825,,,,,,,case rate,,35870,,,,,,,case rate,,78356,,,,,,,case rate,,33780,78356,
Other disorders of the liver,283,APR-DRG,,inpatient,,,5793,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5793,,,,,,,case rate,,7878,,,,,,,case rate,,5793,,,,,,,case rate,,5793,,,,,,,case rate,,5793,,,,,,,case rate,,6662,,,,,,,case rate,,6372,,,,,,,case rate,,5619,,,,,,,case rate,,5793,,,,,,,case rate,,5793,,,,,,,case rate,,5966,,,,,,,case rate,,13034,,,,,,,case rate,,5619,13034,
Other disorders of the liver,283,APR-DRG,,inpatient,,,7681,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7681,,,,,,,case rate,,10446,,,,,,,case rate,,7681,,,,,,,case rate,,7681,,,,,,,case rate,,7681,,,,,,,case rate,,8833,,,,,,,case rate,,8449,,,,,,,case rate,,7450,,,,,,,case rate,,7681,,,,,,,case rate,,7681,,,,,,,case rate,,7911,,,,,,,case rate,,17282,,,,,,,case rate,,7450,17282,
Other disorders of the liver,283,APR-DRG,,inpatient,,,12380,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12380,,,,,,,case rate,,16837,,,,,,,case rate,,12380,,,,,,,case rate,,12380,,,,,,,case rate,,12380,,,,,,,case rate,,14237,,,,,,,case rate,,13618,,,,,,,case rate,,12008,,,,,,,case rate,,12380,,,,,,,case rate,,12380,,,,,,,case rate,,12751,,,,,,,case rate,,27855,,,,,,,case rate,,12008,27855,
Other disorders of the liver,283,APR-DRG,,inpatient,,,26617,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26617,,,,,,,case rate,,36199,,,,,,,case rate,,26617,,,,,,,case rate,,26617,,,,,,,case rate,,26617,,,,,,,case rate,,30609,,,,,,,case rate,,29279,,,,,,,case rate,,25818,,,,,,,case rate,,26617,,,,,,,case rate,,26617,,,,,,,case rate,,27415,,,,,,,case rate,,59888,,,,,,,case rate,,25818,59888,
Other drug abuse & dependence,776,APR-DRG,,inpatient,,,5375,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5375,,,,,,,case rate,,7311,,,,,,,case rate,,5375,,,,,,,case rate,,5375,,,,,,,case rate,,5375,,,,,,,case rate,,6182,,,,,,,case rate,,5913,,,,,,,case rate,,5214,,,,,,,case rate,,5375,,,,,,,case rate,,5375,,,,,,,case rate,,5537,,,,,,,case rate,,12095,,,,,,,case rate,,5214,12095,
Other drug abuse & dependence,776,APR-DRG,,inpatient,,,5689,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5689,,,,,,,case rate,,7737,,,,,,,case rate,,5689,,,,,,,case rate,,5689,,,,,,,case rate,,5689,,,,,,,case rate,,6542,,,,,,,case rate,,6258,,,,,,,case rate,,5518,,,,,,,case rate,,5689,,,,,,,case rate,,5689,,,,,,,case rate,,5860,,,,,,,case rate,,12800,,,,,,,case rate,,5518,12800,
Other drug abuse & dependence,776,APR-DRG,,inpatient,,,6374,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6374,,,,,,,case rate,,8669,,,,,,,case rate,,6374,,,,,,,case rate,,6374,,,,,,,case rate,,6374,,,,,,,case rate,,7331,,,,,,,case rate,,7012,,,,,,,case rate,,6183,,,,,,,case rate,,6374,,,,,,,case rate,,6374,,,,,,,case rate,,6566,,,,,,,case rate,,14342,,,,,,,case rate,,6183,14342,
Other drug abuse & dependence,776,APR-DRG,,inpatient,,,6374,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6374,,,,,,,case rate,,8669,,,,,,,case rate,,6374,,,,,,,case rate,,6374,,,,,,,case rate,,6374,,,,,,,case rate,,7331,,,,,,,case rate,,7012,,,,,,,case rate,,6183,,,,,,,case rate,,6374,,,,,,,case rate,,6374,,,,,,,case rate,,6566,,,,,,,case rate,,14342,,,,,,,case rate,,6183,14342,
"Other ear, nose, mouth & throat procedures",98,APR-DRG,,inpatient,,,7037,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7037,,,,,,,case rate,,9571,,,,,,,case rate,,7037,,,,,,,case rate,,7037,,,,,,,case rate,,7037,,,,,,,case rate,,8093,,,,,,,case rate,,7741,,,,,,,case rate,,6826,,,,,,,case rate,,7037,,,,,,,case rate,,7037,,,,,,,case rate,,7248,,,,,,,case rate,,15834,,,,,,,case rate,,6826,15834,
"Other ear, nose, mouth & throat procedures",98,APR-DRG,,inpatient,,,10024,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10024,,,,,,,case rate,,13633,,,,,,,case rate,,10024,,,,,,,case rate,,10024,,,,,,,case rate,,10024,,,,,,,case rate,,11528,,,,,,,case rate,,11027,,,,,,,case rate,,9723,,,,,,,case rate,,10024,,,,,,,case rate,,10024,,,,,,,case rate,,10325,,,,,,,case rate,,22554,,,,,,,case rate,,9723,22554,
"Other ear, nose, mouth & throat procedures",98,APR-DRG,,inpatient,,,19151,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19151,,,,,,,case rate,,26045,,,,,,,case rate,,19151,,,,,,,case rate,,19151,,,,,,,case rate,,19151,,,,,,,case rate,,22024,,,,,,,case rate,,21066,,,,,,,case rate,,18576,,,,,,,case rate,,19151,,,,,,,case rate,,19151,,,,,,,case rate,,19726,,,,,,,case rate,,43090,,,,,,,case rate,,18576,43090,
"Other ear, nose, mouth & throat procedures",98,APR-DRG,,inpatient,,,42772,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42772,,,,,,,case rate,,58170,,,,,,,case rate,,42772,,,,,,,case rate,,42772,,,,,,,case rate,,42772,,,,,,,case rate,,49188,,,,,,,case rate,,47049,,,,,,,case rate,,41489,,,,,,,case rate,,42772,,,,,,,case rate,,42772,,,,,,,case rate,,44055,,,,,,,case rate,,96237,,,,,,,case rate,,41489,96237,
"Other ear, nose, mouth,throat & cranial/facial diagnoses",115,APR-DRG,,inpatient,,,4539,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4539,,,,,,,case rate,,6173,,,,,,,case rate,,4539,,,,,,,case rate,,4539,,,,,,,case rate,,4539,,,,,,,case rate,,5220,,,,,,,case rate,,4993,,,,,,,case rate,,4403,,,,,,,case rate,,4539,,,,,,,case rate,,4539,,,,,,,case rate,,4675,,,,,,,case rate,,10212,,,,,,,case rate,,4403,10212,
"Other ear, nose, mouth,throat & cranial/facial diagnoses",115,APR-DRG,,inpatient,,,6181,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6181,,,,,,,case rate,,8406,,,,,,,case rate,,6181,,,,,,,case rate,,6181,,,,,,,case rate,,6181,,,,,,,case rate,,7108,,,,,,,case rate,,6799,,,,,,,case rate,,5996,,,,,,,case rate,,6181,,,,,,,case rate,,6181,,,,,,,case rate,,6367,,,,,,,case rate,,13908,,,,,,,case rate,,5996,13908,
"Other ear, nose, mouth,throat & cranial/facial diagnoses",115,APR-DRG,,inpatient,,,10206,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10206,,,,,,,case rate,,13880,,,,,,,case rate,,10206,,,,,,,case rate,,10206,,,,,,,case rate,,10206,,,,,,,case rate,,11737,,,,,,,case rate,,11227,,,,,,,case rate,,9900,,,,,,,case rate,,10206,,,,,,,case rate,,10206,,,,,,,case rate,,10512,,,,,,,case rate,,22964,,,,,,,case rate,,9900,22964,
"Other ear, nose, mouth,throat & cranial/facial diagnoses",115,APR-DRG,,inpatient,,,26947,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26947,,,,,,,case rate,,36648,,,,,,,case rate,,26947,,,,,,,case rate,,26947,,,,,,,case rate,,26947,,,,,,,case rate,,30989,,,,,,,case rate,,29642,,,,,,,case rate,,26138,,,,,,,case rate,,26947,,,,,,,case rate,,26947,,,,,,,case rate,,27755,,,,,,,case rate,,60630,,,,,,,case rate,,26138,60630,
Other endocrine disorders,424,APR-DRG,,inpatient,,,5128,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5128,,,,,,,case rate,,6974,,,,,,,case rate,,5128,,,,,,,case rate,,5128,,,,,,,case rate,,5128,,,,,,,case rate,,5897,,,,,,,case rate,,5640,,,,,,,case rate,,4974,,,,,,,case rate,,5128,,,,,,,case rate,,5128,,,,,,,case rate,,5282,,,,,,,case rate,,11537,,,,,,,case rate,,4974,11537,
Other endocrine disorders,424,APR-DRG,,inpatient,,,7805,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7805,,,,,,,case rate,,10615,,,,,,,case rate,,7805,,,,,,,case rate,,7805,,,,,,,case rate,,7805,,,,,,,case rate,,8976,,,,,,,case rate,,8586,,,,,,,case rate,,7571,,,,,,,case rate,,7805,,,,,,,case rate,,7805,,,,,,,case rate,,8039,,,,,,,case rate,,17562,,,,,,,case rate,,7571,17562,
Other endocrine disorders,424,APR-DRG,,inpatient,,,12183,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12183,,,,,,,case rate,,16568,,,,,,,case rate,,12183,,,,,,,case rate,,12183,,,,,,,case rate,,12183,,,,,,,case rate,,14010,,,,,,,case rate,,13401,,,,,,,case rate,,11817,,,,,,,case rate,,12183,,,,,,,case rate,,12183,,,,,,,case rate,,12548,,,,,,,case rate,,27411,,,,,,,case rate,,11817,27411,
Other endocrine disorders,424,APR-DRG,,inpatient,,,28605,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28605,,,,,,,case rate,,38902,,,,,,,case rate,,28605,,,,,,,case rate,,28605,,,,,,,case rate,,28605,,,,,,,case rate,,32895,,,,,,,case rate,,31465,,,,,,,case rate,,27747,,,,,,,case rate,,28605,,,,,,,case rate,,28605,,,,,,,case rate,,29463,,,,,,,case rate,,64361,,,,,,,case rate,,27747,64361,
Other esophageal disorders,243,APR-DRG,,inpatient,,,4467,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4467,,,,,,,case rate,,6075,,,,,,,case rate,,4467,,,,,,,case rate,,4467,,,,,,,case rate,,4467,,,,,,,case rate,,5137,,,,,,,case rate,,4914,,,,,,,case rate,,4333,,,,,,,case rate,,4467,,,,,,,case rate,,4467,,,,,,,case rate,,4601,,,,,,,case rate,,10050,,,,,,,case rate,,4333,10050,
Other esophageal disorders,243,APR-DRG,,inpatient,,,6465,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6465,,,,,,,case rate,,8792,,,,,,,case rate,,6465,,,,,,,case rate,,6465,,,,,,,case rate,,6465,,,,,,,case rate,,7435,,,,,,,case rate,,7111,,,,,,,case rate,,6271,,,,,,,case rate,,6465,,,,,,,case rate,,6465,,,,,,,case rate,,6659,,,,,,,case rate,,14546,,,,,,,case rate,,6271,14546,
Other esophageal disorders,243,APR-DRG,,inpatient,,,10844,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10844,,,,,,,case rate,,14748,,,,,,,case rate,,10844,,,,,,,case rate,,10844,,,,,,,case rate,,10844,,,,,,,case rate,,12471,,,,,,,case rate,,11929,,,,,,,case rate,,10519,,,,,,,case rate,,10844,,,,,,,case rate,,10844,,,,,,,case rate,,11170,,,,,,,case rate,,24400,,,,,,,case rate,,10519,24400,
Other esophageal disorders,243,APR-DRG,,inpatient,,,23626,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23626,,,,,,,case rate,,32131,,,,,,,case rate,,23626,,,,,,,case rate,,23626,,,,,,,case rate,,23626,,,,,,,case rate,,27170,,,,,,,case rate,,25989,,,,,,,case rate,,22917,,,,,,,case rate,,23626,,,,,,,case rate,,23626,,,,,,,case rate,,24335,,,,,,,case rate,,53159,,,,,,,case rate,,22917,53159,
Other female reproductive system & related procedures,518,APR-DRG,,inpatient,,,7769,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7769,,,,,,,case rate,,10566,,,,,,,case rate,,7769,,,,,,,case rate,,7769,,,,,,,case rate,,7769,,,,,,,case rate,,8935,,,,,,,case rate,,8546,,,,,,,case rate,,7536,,,,,,,case rate,,7769,,,,,,,case rate,,7769,,,,,,,case rate,,8002,,,,,,,case rate,,17481,,,,,,,case rate,,7536,17481,
Other female reproductive system & related procedures,518,APR-DRG,,inpatient,,,11126,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11126,,,,,,,case rate,,15131,,,,,,,case rate,,11126,,,,,,,case rate,,11126,,,,,,,case rate,,11126,,,,,,,case rate,,12795,,,,,,,case rate,,12239,,,,,,,case rate,,10792,,,,,,,case rate,,11126,,,,,,,case rate,,11126,,,,,,,case rate,,11460,,,,,,,case rate,,25033,,,,,,,case rate,,10792,25033,
Other female reproductive system & related procedures,518,APR-DRG,,inpatient,,,21777,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21777,,,,,,,case rate,,29617,,,,,,,case rate,,21777,,,,,,,case rate,,21777,,,,,,,case rate,,21777,,,,,,,case rate,,25044,,,,,,,case rate,,23955,,,,,,,case rate,,21124,,,,,,,case rate,,21777,,,,,,,case rate,,21777,,,,,,,case rate,,22430,,,,,,,case rate,,48998,,,,,,,case rate,,21124,48998,
Other female reproductive system & related procedures,518,APR-DRG,,inpatient,,,61441,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,61441,,,,,,,case rate,,83560,,,,,,,case rate,,61441,,,,,,,case rate,,61441,,,,,,,case rate,,61441,,,,,,,case rate,,70657,,,,,,,case rate,,67585,,,,,,,case rate,,59598,,,,,,,case rate,,61441,,,,,,,case rate,,61441,,,,,,,case rate,,63284,,,,,,,case rate,,138242,,,,,,,case rate,,59598,138242,
"Other gastroenteritis, nausa & vomiting",249,APR-DRG,,inpatient,,,4369,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4369,,,,,,,case rate,,5942,,,,,,,case rate,,4369,,,,,,,case rate,,4369,,,,,,,case rate,,4369,,,,,,,case rate,,5025,,,,,,,case rate,,4806,,,,,,,case rate,,4238,,,,,,,case rate,,4369,,,,,,,case rate,,4369,,,,,,,case rate,,4500,,,,,,,case rate,,9831,,,,,,,case rate,,4238,9831,
"Other gastroenteritis, nausa & vomiting",249,APR-DRG,,inpatient,,,5492,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5492,,,,,,,case rate,,7468,,,,,,,case rate,,5492,,,,,,,case rate,,5492,,,,,,,case rate,,5492,,,,,,,case rate,,6315,,,,,,,case rate,,6041,,,,,,,case rate,,5327,,,,,,,case rate,,5492,,,,,,,case rate,,5492,,,,,,,case rate,,5656,,,,,,,case rate,,12356,,,,,,,case rate,,5327,12356,
"Other gastroenteritis, nausa & vomiting",249,APR-DRG,,inpatient,,,8586,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8586,,,,,,,case rate,,11677,,,,,,,case rate,,8586,,,,,,,case rate,,8586,,,,,,,case rate,,8586,,,,,,,case rate,,9874,,,,,,,case rate,,9445,,,,,,,case rate,,8329,,,,,,,case rate,,8586,,,,,,,case rate,,8586,,,,,,,case rate,,8844,,,,,,,case rate,,19319,,,,,,,case rate,,8329,19319,
"Other gastroenteritis, nausa & vomiting",249,APR-DRG,,inpatient,,,20789,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20789,,,,,,,case rate,,28273,,,,,,,case rate,,20789,,,,,,,case rate,,20789,,,,,,,case rate,,20789,,,,,,,case rate,,23908,,,,,,,case rate,,22868,,,,,,,case rate,,20166,,,,,,,case rate,,20789,,,,,,,case rate,,20789,,,,,,,case rate,,21413,,,,,,,case rate,,46776,,,,,,,case rate,,20166,46776,
"Other hepatobiliary, pancreas & abdominal procedures",264,APR-DRG,,inpatient,,,13710,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13710,,,,,,,case rate,,18645,,,,,,,case rate,,13710,,,,,,,case rate,,13710,,,,,,,case rate,,13710,,,,,,,case rate,,15766,,,,,,,case rate,,15081,,,,,,,case rate,,13299,,,,,,,case rate,,13710,,,,,,,case rate,,13710,,,,,,,case rate,,14121,,,,,,,case rate,,30847,,,,,,,case rate,,13299,30847,
"Other hepatobiliary, pancreas & abdominal procedures",264,APR-DRG,,inpatient,,,15541,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15541,,,,,,,case rate,,21136,,,,,,,case rate,,15541,,,,,,,case rate,,15541,,,,,,,case rate,,15541,,,,,,,case rate,,17873,,,,,,,case rate,,17096,,,,,,,case rate,,15075,,,,,,,case rate,,15541,,,,,,,case rate,,15541,,,,,,,case rate,,16008,,,,,,,case rate,,34968,,,,,,,case rate,,15075,34968,
"Other hepatobiliary, pancreas & abdominal procedures",264,APR-DRG,,inpatient,,,29359,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29359,,,,,,,case rate,,39928,,,,,,,case rate,,29359,,,,,,,case rate,,29359,,,,,,,case rate,,29359,,,,,,,case rate,,33763,,,,,,,case rate,,32295,,,,,,,case rate,,28478,,,,,,,case rate,,29359,,,,,,,case rate,,29359,,,,,,,case rate,,30240,,,,,,,case rate,,66058,,,,,,,case rate,,28478,66058,
"Other hepatobiliary, pancreas & abdominal procedures",264,APR-DRG,,inpatient,,,63257,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,63257,,,,,,,case rate,,86029,,,,,,,case rate,,63257,,,,,,,case rate,,63257,,,,,,,case rate,,63257,,,,,,,case rate,,72746,,,,,,,case rate,,69583,,,,,,,case rate,,61359,,,,,,,case rate,,63257,,,,,,,case rate,,63257,,,,,,,case rate,,65155,,,,,,,case rate,,142328,,,,,,,case rate,,61359,142328,
Other infectious & parasitic diseases,724,APR-DRG,,inpatient,,,6641,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6641,,,,,,,case rate,,9031,,,,,,,case rate,,6641,,,,,,,case rate,,6641,,,,,,,case rate,,6641,,,,,,,case rate,,7637,,,,,,,case rate,,7305,,,,,,,case rate,,6441,,,,,,,case rate,,6641,,,,,,,case rate,,6641,,,,,,,case rate,,6840,,,,,,,case rate,,14941,,,,,,,case rate,,6441,14941,
Other infectious & parasitic diseases,724,APR-DRG,,inpatient,,,7885,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7885,,,,,,,case rate,,10724,,,,,,,case rate,,7885,,,,,,,case rate,,7885,,,,,,,case rate,,7885,,,,,,,case rate,,9068,,,,,,,case rate,,8674,,,,,,,case rate,,7649,,,,,,,case rate,,7885,,,,,,,case rate,,7885,,,,,,,case rate,,8122,,,,,,,case rate,,17742,,,,,,,case rate,,7649,17742,
Other infectious & parasitic diseases,724,APR-DRG,,inpatient,,,14008,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14008,,,,,,,case rate,,19051,,,,,,,case rate,,14008,,,,,,,case rate,,14008,,,,,,,case rate,,14008,,,,,,,case rate,,16109,,,,,,,case rate,,15409,,,,,,,case rate,,13588,,,,,,,case rate,,14008,,,,,,,case rate,,14008,,,,,,,case rate,,14428,,,,,,,case rate,,31518,,,,,,,case rate,,13588,31518,
Other infectious & parasitic diseases,724,APR-DRG,,inpatient,,,37213,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37213,,,,,,,case rate,,50609,,,,,,,case rate,,37213,,,,,,,case rate,,37213,,,,,,,case rate,,37213,,,,,,,case rate,,42794,,,,,,,case rate,,40934,,,,,,,case rate,,36096,,,,,,,case rate,,37213,,,,,,,case rate,,37213,,,,,,,case rate,,38329,,,,,,,case rate,,83728,,,,,,,case rate,,36096,83728,
"Other injury, poisoning & toxic effect diagnoses",815,APR-DRG,,inpatient,,,3713,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3713,,,,,,,case rate,,5050,,,,,,,case rate,,3713,,,,,,,case rate,,3713,,,,,,,case rate,,3713,,,,,,,case rate,,4270,,,,,,,case rate,,4085,,,,,,,case rate,,3602,,,,,,,case rate,,3713,,,,,,,case rate,,3713,,,,,,,case rate,,3825,,,,,,,case rate,,8355,,,,,,,case rate,,3602,8355,
"Other injury, poisoning & toxic effect diagnoses",815,APR-DRG,,inpatient,,,6352,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6352,,,,,,,case rate,,8638,,,,,,,case rate,,6352,,,,,,,case rate,,6352,,,,,,,case rate,,6352,,,,,,,case rate,,7305,,,,,,,case rate,,6987,,,,,,,case rate,,6161,,,,,,,case rate,,6352,,,,,,,case rate,,6352,,,,,,,case rate,,6542,,,,,,,case rate,,14292,,,,,,,case rate,,6161,14292,
"Other injury, poisoning & toxic effect diagnoses",815,APR-DRG,,inpatient,,,10839,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10839,,,,,,,case rate,,14741,,,,,,,case rate,,10839,,,,,,,case rate,,10839,,,,,,,case rate,,10839,,,,,,,case rate,,12465,,,,,,,case rate,,11923,,,,,,,case rate,,10514,,,,,,,case rate,,10839,,,,,,,case rate,,10839,,,,,,,case rate,,11164,,,,,,,case rate,,24388,,,,,,,case rate,,10514,24388,
"Other injury, poisoning & toxic effect diagnoses",815,APR-DRG,,inpatient,,,27797,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27797,,,,,,,case rate,,37804,,,,,,,case rate,,27797,,,,,,,case rate,,27797,,,,,,,case rate,,27797,,,,,,,case rate,,31966,,,,,,,case rate,,30577,,,,,,,case rate,,26963,,,,,,,case rate,,27797,,,,,,,case rate,,27797,,,,,,,case rate,,28631,,,,,,,case rate,,62543,,,,,,,case rate,,26963,62543,
"Other kidney & urinary tract diagnoses, signs & symptoms",468,APR-DRG,,inpatient,,,5176,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5176,,,,,,,case rate,,7039,,,,,,,case rate,,5176,,,,,,,case rate,,5176,,,,,,,case rate,,5176,,,,,,,case rate,,5952,,,,,,,case rate,,5694,,,,,,,case rate,,5021,,,,,,,case rate,,5176,,,,,,,case rate,,5176,,,,,,,case rate,,5331,,,,,,,case rate,,11646,,,,,,,case rate,,5021,11646,
"Other kidney & urinary tract diagnoses, signs & symptoms",468,APR-DRG,,inpatient,,,7471,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7471,,,,,,,case rate,,10161,,,,,,,case rate,,7471,,,,,,,case rate,,7471,,,,,,,case rate,,7471,,,,,,,case rate,,8592,,,,,,,case rate,,8218,,,,,,,case rate,,7247,,,,,,,case rate,,7471,,,,,,,case rate,,7471,,,,,,,case rate,,7695,,,,,,,case rate,,16810,,,,,,,case rate,,7247,16810,
"Other kidney & urinary tract diagnoses, signs & symptoms",468,APR-DRG,,inpatient,,,12225,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12225,,,,,,,case rate,,16626,,,,,,,case rate,,12225,,,,,,,case rate,,12225,,,,,,,case rate,,12225,,,,,,,case rate,,14058,,,,,,,case rate,,13447,,,,,,,case rate,,11858,,,,,,,case rate,,12225,,,,,,,case rate,,12225,,,,,,,case rate,,12591,,,,,,,case rate,,27505,,,,,,,case rate,,11858,27505,
"Other kidney & urinary tract diagnoses, signs & symptoms",468,APR-DRG,,inpatient,,,28868,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28868,,,,,,,case rate,,39260,,,,,,,case rate,,28868,,,,,,,case rate,,28868,,,,,,,case rate,,28868,,,,,,,case rate,,33198,,,,,,,case rate,,31755,,,,,,,case rate,,28002,,,,,,,case rate,,28868,,,,,,,case rate,,28868,,,,,,,case rate,,29734,,,,,,,case rate,,64953,,,,,,,case rate,,28002,64953,
"Other kidney, urinary tract & related procedures",447,APR-DRG,,inpatient,,,12300,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12300,,,,,,,case rate,,16728,,,,,,,case rate,,12300,,,,,,,case rate,,12300,,,,,,,case rate,,12300,,,,,,,case rate,,14145,,,,,,,case rate,,13530,,,,,,,case rate,,11931,,,,,,,case rate,,12300,,,,,,,case rate,,12300,,,,,,,case rate,,12669,,,,,,,case rate,,27674,,,,,,,case rate,,11931,27674,
"Other kidney, urinary tract & related procedures",447,APR-DRG,,inpatient,,,13386,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13386,,,,,,,case rate,,18205,,,,,,,case rate,,13386,,,,,,,case rate,,13386,,,,,,,case rate,,13386,,,,,,,case rate,,15394,,,,,,,case rate,,14725,,,,,,,case rate,,12984,,,,,,,case rate,,13386,,,,,,,case rate,,13386,,,,,,,case rate,,13788,,,,,,,case rate,,30119,,,,,,,case rate,,12984,30119,
"Other kidney, urinary tract & related procedures",447,APR-DRG,,inpatient,,,30127,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30127,,,,,,,case rate,,40973,,,,,,,case rate,,30127,,,,,,,case rate,,30127,,,,,,,case rate,,30127,,,,,,,case rate,,34646,,,,,,,case rate,,33140,,,,,,,case rate,,29223,,,,,,,case rate,,30127,,,,,,,case rate,,30127,,,,,,,case rate,,31031,,,,,,,case rate,,67785,,,,,,,case rate,,29223,67785,
"Other kidney, urinary tract & related procedures",447,APR-DRG,,inpatient,,,78427,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,78427,,,,,,,case rate,,106661,,,,,,,case rate,,78427,,,,,,,case rate,,78427,,,,,,,case rate,,78427,,,,,,,case rate,,90191,,,,,,,case rate,,86270,,,,,,,case rate,,76074,,,,,,,case rate,,78427,,,,,,,case rate,,78427,,,,,,,case rate,,80780,,,,,,,case rate,,176461,,,,,,,case rate,,76074,176461,
Other major head & neck procedures,91,APR-DRG,,inpatient,,,13717,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13717,,,,,,,case rate,,18655,,,,,,,case rate,,13717,,,,,,,case rate,,13717,,,,,,,case rate,,13717,,,,,,,case rate,,15775,,,,,,,case rate,,15089,,,,,,,case rate,,13306,,,,,,,case rate,,13717,,,,,,,case rate,,13717,,,,,,,case rate,,14129,,,,,,,case rate,,30863,,,,,,,case rate,,13306,30863,
Other major head & neck procedures,91,APR-DRG,,inpatient,,,29282,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29282,,,,,,,case rate,,39824,,,,,,,case rate,,29282,,,,,,,case rate,,29282,,,,,,,case rate,,29282,,,,,,,case rate,,33674,,,,,,,case rate,,32210,,,,,,,case rate,,28404,,,,,,,case rate,,29282,,,,,,,case rate,,29282,,,,,,,case rate,,30160,,,,,,,case rate,,65885,,,,,,,case rate,,28404,65885,
Other major head & neck procedures,91,APR-DRG,,inpatient,,,37870,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37870,,,,,,,case rate,,51504,,,,,,,case rate,,37870,,,,,,,case rate,,37870,,,,,,,case rate,,37870,,,,,,,case rate,,43551,,,,,,,case rate,,41657,,,,,,,case rate,,36734,,,,,,,case rate,,37870,,,,,,,case rate,,37870,,,,,,,case rate,,39006,,,,,,,case rate,,85208,,,,,,,case rate,,36734,85208,
Other major head & neck procedures,91,APR-DRG,,inpatient,,,42579,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,42579,,,,,,,case rate,,57907,,,,,,,case rate,,42579,,,,,,,case rate,,42579,,,,,,,case rate,,42579,,,,,,,case rate,,48965,,,,,,,case rate,,46837,,,,,,,case rate,,41301,,,,,,,case rate,,42579,,,,,,,case rate,,42579,,,,,,,case rate,,43856,,,,,,,case rate,,95802,,,,,,,case rate,,41301,95802,
Other male reproductive system & related procedures,484,APR-DRG,,inpatient,,,9028,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9028,,,,,,,case rate,,12278,,,,,,,case rate,,9028,,,,,,,case rate,,9028,,,,,,,case rate,,9028,,,,,,,case rate,,10382,,,,,,,case rate,,9931,,,,,,,case rate,,8757,,,,,,,case rate,,9028,,,,,,,case rate,,9028,,,,,,,case rate,,9299,,,,,,,case rate,,20313,,,,,,,case rate,,8757,20313,
Other male reproductive system & related procedures,484,APR-DRG,,inpatient,,,12093,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12093,,,,,,,case rate,,16447,,,,,,,case rate,,12093,,,,,,,case rate,,12093,,,,,,,case rate,,12093,,,,,,,case rate,,13907,,,,,,,case rate,,13302,,,,,,,case rate,,11730,,,,,,,case rate,,12093,,,,,,,case rate,,12093,,,,,,,case rate,,12456,,,,,,,case rate,,27209,,,,,,,case rate,,11730,27209,
Other male reproductive system & related procedures,484,APR-DRG,,inpatient,,,20268,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20268,,,,,,,case rate,,27565,,,,,,,case rate,,20268,,,,,,,case rate,,20268,,,,,,,case rate,,20268,,,,,,,case rate,,23308,,,,,,,case rate,,22295,,,,,,,case rate,,19660,,,,,,,case rate,,20268,,,,,,,case rate,,20268,,,,,,,case rate,,20876,,,,,,,case rate,,45603,,,,,,,case rate,,19660,45603,
Other male reproductive system & related procedures,484,APR-DRG,,inpatient,,,22076,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22076,,,,,,,case rate,,30024,,,,,,,case rate,,22076,,,,,,,case rate,,22076,,,,,,,case rate,,22076,,,,,,,case rate,,25388,,,,,,,case rate,,24284,,,,,,,case rate,,21414,,,,,,,case rate,,22076,,,,,,,case rate,,22076,,,,,,,case rate,,22738,,,,,,,case rate,,49671,,,,,,,case rate,,21414,49671,
Other mental health disorders,760,APR-DRG,,inpatient,,,5672,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5672,,,,,,,case rate,,7715,,,,,,,case rate,,5672,,,,,,,case rate,,5672,,,,,,,case rate,,5672,,,,,,,case rate,,6523,,,,,,,case rate,,6240,,,,,,,case rate,,5502,,,,,,,case rate,,5672,,,,,,,case rate,,5672,,,,,,,case rate,,5843,,,,,,,case rate,,12763,,,,,,,case rate,,5502,12763,
Other mental health disorders,760,APR-DRG,,inpatient,,,8359,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8359,,,,,,,case rate,,11368,,,,,,,case rate,,8359,,,,,,,case rate,,8359,,,,,,,case rate,,8359,,,,,,,case rate,,9613,,,,,,,case rate,,9195,,,,,,,case rate,,8108,,,,,,,case rate,,8359,,,,,,,case rate,,8359,,,,,,,case rate,,8610,,,,,,,case rate,,18808,,,,,,,case rate,,8108,18808,
Other mental health disorders,760,APR-DRG,,inpatient,,,8731,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8731,,,,,,,case rate,,11874,,,,,,,case rate,,8731,,,,,,,case rate,,8731,,,,,,,case rate,,8731,,,,,,,case rate,,10041,,,,,,,case rate,,9604,,,,,,,case rate,,8469,,,,,,,case rate,,8731,,,,,,,case rate,,8731,,,,,,,case rate,,8993,,,,,,,case rate,,19645,,,,,,,case rate,,8469,19645,
Other mental health disorders,760,APR-DRG,,inpatient,,,8731,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8731,,,,,,,case rate,,11874,,,,,,,case rate,,8731,,,,,,,case rate,,8731,,,,,,,case rate,,8731,,,,,,,case rate,,10041,,,,,,,case rate,,9604,,,,,,,case rate,,8469,,,,,,,case rate,,8731,,,,,,,case rate,,8731,,,,,,,case rate,,8993,,,,,,,case rate,,19645,,,,,,,case rate,,8469,19645,
Other musculoskeletal system & connective tissue diagnoses,351,APR-DRG,,inpatient,,,5045,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5045,,,,,,,case rate,,6862,,,,,,,case rate,,5045,,,,,,,case rate,,5045,,,,,,,case rate,,5045,,,,,,,case rate,,5802,,,,,,,case rate,,5550,,,,,,,case rate,,4894,,,,,,,case rate,,5045,,,,,,,case rate,,5045,,,,,,,case rate,,5197,,,,,,,case rate,,11352,,,,,,,case rate,,4894,11352,
Other musculoskeletal system & connective tissue diagnoses,351,APR-DRG,,inpatient,,,6566,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6566,,,,,,,case rate,,8929,,,,,,,case rate,,6566,,,,,,,case rate,,6566,,,,,,,case rate,,6566,,,,,,,case rate,,7550,,,,,,,case rate,,7222,,,,,,,case rate,,6369,,,,,,,case rate,,6566,,,,,,,case rate,,6566,,,,,,,case rate,,6763,,,,,,,case rate,,14773,,,,,,,case rate,,6369,14773,
Other musculoskeletal system & connective tissue diagnoses,351,APR-DRG,,inpatient,,,11868,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11868,,,,,,,case rate,,16140,,,,,,,case rate,,11868,,,,,,,case rate,,11868,,,,,,,case rate,,11868,,,,,,,case rate,,13648,,,,,,,case rate,,13055,,,,,,,case rate,,11512,,,,,,,case rate,,11868,,,,,,,case rate,,11868,,,,,,,case rate,,12224,,,,,,,case rate,,26703,,,,,,,case rate,,11512,26703,
Other musculoskeletal system & connective tissue diagnoses,351,APR-DRG,,inpatient,,,31661,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31661,,,,,,,case rate,,43059,,,,,,,case rate,,31661,,,,,,,case rate,,31661,,,,,,,case rate,,31661,,,,,,,case rate,,36411,,,,,,,case rate,,34828,,,,,,,case rate,,30712,,,,,,,case rate,,31661,,,,,,,case rate,,31661,,,,,,,case rate,,32611,,,,,,,case rate,,71238,,,,,,,case rate,,30712,71238,
Other musculoskeletal system & connective tissue procedures,320,APR-DRG,,inpatient,,,10539,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10539,,,,,,,case rate,,14333,,,,,,,case rate,,10539,,,,,,,case rate,,10539,,,,,,,case rate,,10539,,,,,,,case rate,,12120,,,,,,,case rate,,11593,,,,,,,case rate,,10223,,,,,,,case rate,,10539,,,,,,,case rate,,10539,,,,,,,case rate,,10855,,,,,,,case rate,,23713,,,,,,,case rate,,10223,23713,
Other musculoskeletal system & connective tissue procedures,320,APR-DRG,,inpatient,,,16731,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16731,,,,,,,case rate,,22754,,,,,,,case rate,,16731,,,,,,,case rate,,16731,,,,,,,case rate,,16731,,,,,,,case rate,,19240,,,,,,,case rate,,18404,,,,,,,case rate,,16229,,,,,,,case rate,,16731,,,,,,,case rate,,16731,,,,,,,case rate,,17232,,,,,,,case rate,,37644,,,,,,,case rate,,16229,37644,
Other musculoskeletal system & connective tissue procedures,320,APR-DRG,,inpatient,,,25848,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25848,,,,,,,case rate,,35153,,,,,,,case rate,,25848,,,,,,,case rate,,25848,,,,,,,case rate,,25848,,,,,,,case rate,,29725,,,,,,,case rate,,28433,,,,,,,case rate,,25073,,,,,,,case rate,,25848,,,,,,,case rate,,25848,,,,,,,case rate,,26624,,,,,,,case rate,,58158,,,,,,,case rate,,25073,58158,
Other musculoskeletal system & connective tissue procedures,320,APR-DRG,,inpatient,,,51427,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51427,,,,,,,case rate,,69941,,,,,,,case rate,,51427,,,,,,,case rate,,51427,,,,,,,case rate,,51427,,,,,,,case rate,,59141,,,,,,,case rate,,56570,,,,,,,case rate,,49884,,,,,,,case rate,,51427,,,,,,,case rate,,51427,,,,,,,case rate,,52970,,,,,,,case rate,,115711,,,,,,,case rate,,49884,115711,
Other nervous system & related procedures,26,APR-DRG,,inpatient,,,12608,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12608,,,,,,,case rate,,17147,,,,,,,case rate,,12608,,,,,,,case rate,,12608,,,,,,,case rate,,12608,,,,,,,case rate,,14499,,,,,,,case rate,,13869,,,,,,,case rate,,12230,,,,,,,case rate,,12608,,,,,,,case rate,,12608,,,,,,,case rate,,12986,,,,,,,case rate,,28368,,,,,,,case rate,,12230,28368,
Other nervous system & related procedures,26,APR-DRG,,inpatient,,,18459,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18459,,,,,,,case rate,,25105,,,,,,,case rate,,18459,,,,,,,case rate,,18459,,,,,,,case rate,,18459,,,,,,,case rate,,21228,,,,,,,case rate,,20305,,,,,,,case rate,,17906,,,,,,,case rate,,18459,,,,,,,case rate,,18459,,,,,,,case rate,,19013,,,,,,,case rate,,41533,,,,,,,case rate,,17906,41533,
Other nervous system & related procedures,26,APR-DRG,,inpatient,,,27426,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27426,,,,,,,case rate,,37299,,,,,,,case rate,,27426,,,,,,,case rate,,27426,,,,,,,case rate,,27426,,,,,,,case rate,,31540,,,,,,,case rate,,30168,,,,,,,case rate,,26603,,,,,,,case rate,,27426,,,,,,,case rate,,27426,,,,,,,case rate,,28249,,,,,,,case rate,,61708,,,,,,,case rate,,26603,61708,
Other nervous system & related procedures,26,APR-DRG,,inpatient,,,64504,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64504,,,,,,,case rate,,87725,,,,,,,case rate,,64504,,,,,,,case rate,,64504,,,,,,,case rate,,64504,,,,,,,case rate,,74179,,,,,,,case rate,,70954,,,,,,,case rate,,62569,,,,,,,case rate,,64504,,,,,,,case rate,,64504,,,,,,,case rate,,66439,,,,,,,case rate,,145133,,,,,,,case rate,,62569,145133,
Other O.R. proc for obstetric diagnoses except delivery diagnoses,546,APR-DRG,,inpatient,,,5914,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5914,,,,,,,case rate,,8043,,,,,,,case rate,,5914,,,,,,,case rate,,5914,,,,,,,case rate,,5914,,,,,,,case rate,,6801,,,,,,,case rate,,6505,,,,,,,case rate,,5737,,,,,,,case rate,,5914,,,,,,,case rate,,5914,,,,,,,case rate,,6091,,,,,,,case rate,,13306,,,,,,,case rate,,5737,13306,
Other O.R. proc for obstetric diagnoses except delivery diagnoses,546,APR-DRG,,inpatient,,,8012,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8012,,,,,,,case rate,,10896,,,,,,,case rate,,8012,,,,,,,case rate,,8012,,,,,,,case rate,,8012,,,,,,,case rate,,9213,,,,,,,case rate,,8813,,,,,,,case rate,,7771,,,,,,,case rate,,8012,,,,,,,case rate,,8012,,,,,,,case rate,,8252,,,,,,,case rate,,18026,,,,,,,case rate,,7771,18026,
Other O.R. proc for obstetric diagnoses except delivery diagnoses,546,APR-DRG,,inpatient,,,17204,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17204,,,,,,,case rate,,23398,,,,,,,case rate,,17204,,,,,,,case rate,,17204,,,,,,,case rate,,17204,,,,,,,case rate,,19785,,,,,,,case rate,,18925,,,,,,,case rate,,16688,,,,,,,case rate,,17204,,,,,,,case rate,,17204,,,,,,,case rate,,17720,,,,,,,case rate,,38710,,,,,,,case rate,,16688,38710,
Other O.R. proc for obstetric diagnoses except delivery diagnoses,546,APR-DRG,,inpatient,,,44275,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,44275,,,,,,,case rate,,60213,,,,,,,case rate,,44275,,,,,,,case rate,,44275,,,,,,,case rate,,44275,,,,,,,case rate,,50916,,,,,,,case rate,,48702,,,,,,,case rate,,42946,,,,,,,case rate,,44275,,,,,,,case rate,,44275,,,,,,,case rate,,45603,,,,,,,case rate,,99618,,,,,,,case rate,,42946,99618,
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms,681,APR-DRG,,inpatient,,,9746,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9746,,,,,,,case rate,,13254,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,11207,,,,,,,case rate,,10720,,,,,,,case rate,,9453,,,,,,,case rate,,9746,,,,,,,case rate,,9746,,,,,,,case rate,,10038,,,,,,,case rate,,21928,,,,,,,case rate,,9453,21928,
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms,681,APR-DRG,,inpatient,,,16296,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16296,,,,,,,case rate,,22162,,,,,,,case rate,,16296,,,,,,,case rate,,16296,,,,,,,case rate,,16296,,,,,,,case rate,,18740,,,,,,,case rate,,17925,,,,,,,case rate,,15807,,,,,,,case rate,,16296,,,,,,,case rate,,16296,,,,,,,case rate,,16785,,,,,,,case rate,,36665,,,,,,,case rate,,15807,36665,
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms,681,APR-DRG,,inpatient,,,39255,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39255,,,,,,,case rate,,53386,,,,,,,case rate,,39255,,,,,,,case rate,,39255,,,,,,,case rate,,39255,,,,,,,case rate,,45143,,,,,,,case rate,,43180,,,,,,,case rate,,38077,,,,,,,case rate,,39255,,,,,,,case rate,,39255,,,,,,,case rate,,40432,,,,,,,case rate,,88323,,,,,,,case rate,,38077,88323,
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms,681,APR-DRG,,inpatient,,,92206,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,92206,,,,,,,case rate,,125400,,,,,,,case rate,,92206,,,,,,,case rate,,92206,,,,,,,case rate,,92206,,,,,,,case rate,,106037,,,,,,,case rate,,101427,,,,,,,case rate,,89440,,,,,,,case rate,,92206,,,,,,,case rate,,92206,,,,,,,case rate,,94972,,,,,,,case rate,,207463,,,,,,,case rate,,89440,207463,
Other peripheral vascular procedures #,182,APR-DRG,,inpatient,,,15421,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15421,,,,,,,case rate,,20973,,,,,,,case rate,,15421,,,,,,,case rate,,15421,,,,,,,case rate,,15421,,,,,,,case rate,,17734,,,,,,,case rate,,16963,,,,,,,case rate,,14958,,,,,,,case rate,,15421,,,,,,,case rate,,15421,,,,,,,case rate,,15884,,,,,,,case rate,,34698,,,,,,,case rate,,14958,34698,
Other peripheral vascular procedures #,182,APR-DRG,,inpatient,,,21769,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21769,,,,,,,case rate,,29606,,,,,,,case rate,,21769,,,,,,,case rate,,21769,,,,,,,case rate,,21769,,,,,,,case rate,,25034,,,,,,,case rate,,23946,,,,,,,case rate,,21116,,,,,,,case rate,,21769,,,,,,,case rate,,21769,,,,,,,case rate,,22422,,,,,,,case rate,,48980,,,,,,,case rate,,21116,48980,
Other peripheral vascular procedures #,182,APR-DRG,,inpatient,,,33136,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33136,,,,,,,case rate,,45065,,,,,,,case rate,,33136,,,,,,,case rate,,33136,,,,,,,case rate,,33136,,,,,,,case rate,,38107,,,,,,,case rate,,36450,,,,,,,case rate,,32142,,,,,,,case rate,,33136,,,,,,,case rate,,33136,,,,,,,case rate,,34130,,,,,,,case rate,,74557,,,,,,,case rate,,32142,74557,
Other peripheral vascular procedures #,182,APR-DRG,,inpatient,,,64464,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64464,,,,,,,case rate,,87671,,,,,,,case rate,,64464,,,,,,,case rate,,64464,,,,,,,case rate,,64464,,,,,,,case rate,,74133,,,,,,,case rate,,70910,,,,,,,case rate,,62530,,,,,,,case rate,,64464,,,,,,,case rate,,64464,,,,,,,case rate,,66398,,,,,,,case rate,,145043,,,,,,,case rate,,62530,145043,
Other pneumonia,139,APR-DRG,,inpatient,,,5280,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5280,,,,,,,case rate,,7181,,,,,,,case rate,,5280,,,,,,,case rate,,5280,,,,,,,case rate,,5280,,,,,,,case rate,,6072,,,,,,,case rate,,5808,,,,,,,case rate,,5121,,,,,,,case rate,,5280,,,,,,,case rate,,5280,,,,,,,case rate,,5438,,,,,,,case rate,,11880,,,,,,,case rate,,5121,11880,
Other pneumonia,139,APR-DRG,,inpatient,,,6972,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6972,,,,,,,case rate,,9481,,,,,,,case rate,,6972,,,,,,,case rate,,6972,,,,,,,case rate,,6972,,,,,,,case rate,,8017,,,,,,,case rate,,7669,,,,,,,case rate,,6762,,,,,,,case rate,,6972,,,,,,,case rate,,6972,,,,,,,case rate,,7181,,,,,,,case rate,,15686,,,,,,,case rate,,6762,15686,
Other pneumonia,139,APR-DRG,,inpatient,,,11697,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11697,,,,,,,case rate,,15908,,,,,,,case rate,,11697,,,,,,,case rate,,11697,,,,,,,case rate,,11697,,,,,,,case rate,,13452,,,,,,,case rate,,12867,,,,,,,case rate,,11346,,,,,,,case rate,,11697,,,,,,,case rate,,11697,,,,,,,case rate,,12048,,,,,,,case rate,,26319,,,,,,,case rate,,11346,26319,
Other pneumonia,139,APR-DRG,,inpatient,,,22301,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22301,,,,,,,case rate,,30330,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,25646,,,,,,,case rate,,24531,,,,,,,case rate,,21632,,,,,,,case rate,,22301,,,,,,,case rate,,22301,,,,,,,case rate,,22970,,,,,,,case rate,,50178,,,,,,,case rate,,21632,50178,
"Other procedures for endocrine, nutritional & metabolic disorders",405,APR-DRG,,inpatient,,,11982,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11982,,,,,,,case rate,,16296,,,,,,,case rate,,11982,,,,,,,case rate,,11982,,,,,,,case rate,,11982,,,,,,,case rate,,13779,,,,,,,case rate,,13180,,,,,,,case rate,,11623,,,,,,,case rate,,11982,,,,,,,case rate,,11982,,,,,,,case rate,,12342,,,,,,,case rate,,26960,,,,,,,case rate,,11623,26960,
"Other procedures for endocrine, nutritional & metabolic disorders",405,APR-DRG,,inpatient,,,17407,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17407,,,,,,,case rate,,23673,,,,,,,case rate,,17407,,,,,,,case rate,,17407,,,,,,,case rate,,17407,,,,,,,case rate,,20018,,,,,,,case rate,,19148,,,,,,,case rate,,16885,,,,,,,case rate,,17407,,,,,,,case rate,,17407,,,,,,,case rate,,17929,,,,,,,case rate,,39165,,,,,,,case rate,,16885,39165,
"Other procedures for endocrine, nutritional & metabolic disorders",405,APR-DRG,,inpatient,,,30270,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30270,,,,,,,case rate,,41167,,,,,,,case rate,,30270,,,,,,,case rate,,30270,,,,,,,case rate,,30270,,,,,,,case rate,,34810,,,,,,,case rate,,33297,,,,,,,case rate,,29362,,,,,,,case rate,,30270,,,,,,,case rate,,30270,,,,,,,case rate,,31178,,,,,,,case rate,,68107,,,,,,,case rate,,29362,68107,
"Other procedures for endocrine, nutritional & metabolic disorders",405,APR-DRG,,inpatient,,,86213,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,86213,,,,,,,case rate,,117250,,,,,,,case rate,,86213,,,,,,,case rate,,86213,,,,,,,case rate,,86213,,,,,,,case rate,,99145,,,,,,,case rate,,94834,,,,,,,case rate,,83627,,,,,,,case rate,,86213,,,,,,,case rate,,86213,,,,,,,case rate,,88799,,,,,,,case rate,,193979,,,,,,,case rate,,83627,193979,
Other procedures of blood & blood-forming organs,651,APR-DRG,,inpatient,,,10702,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10702,,,,,,,case rate,,14555,,,,,,,case rate,,10702,,,,,,,case rate,,10702,,,,,,,case rate,,10702,,,,,,,case rate,,12308,,,,,,,case rate,,11773,,,,,,,case rate,,10381,,,,,,,case rate,,10702,,,,,,,case rate,,10702,,,,,,,case rate,,11024,,,,,,,case rate,,24081,,,,,,,case rate,,10381,24081,
Other procedures of blood & blood-forming organs,651,APR-DRG,,inpatient,,,14193,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14193,,,,,,,case rate,,19302,,,,,,,case rate,,14193,,,,,,,case rate,,14193,,,,,,,case rate,,14193,,,,,,,case rate,,16322,,,,,,,case rate,,15612,,,,,,,case rate,,13767,,,,,,,case rate,,14193,,,,,,,case rate,,14193,,,,,,,case rate,,14619,,,,,,,case rate,,31934,,,,,,,case rate,,13767,31934,
Other procedures of blood & blood-forming organs,651,APR-DRG,,inpatient,,,26796,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26796,,,,,,,case rate,,36442,,,,,,,case rate,,26796,,,,,,,case rate,,26796,,,,,,,case rate,,26796,,,,,,,case rate,,30815,,,,,,,case rate,,29475,,,,,,,case rate,,25992,,,,,,,case rate,,26796,,,,,,,case rate,,26796,,,,,,,case rate,,27600,,,,,,,case rate,,60290,,,,,,,case rate,,25992,60290,
Other procedures of blood & blood-forming organs,651,APR-DRG,,inpatient,,,38768,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,38768,,,,,,,case rate,,52724,,,,,,,case rate,,38768,,,,,,,case rate,,38768,,,,,,,case rate,,38768,,,,,,,case rate,,44583,,,,,,,case rate,,42644,,,,,,,case rate,,37605,,,,,,,case rate,,38768,,,,,,,case rate,,38768,,,,,,,case rate,,39931,,,,,,,case rate,,87227,,,,,,,case rate,,37605,87227,
Other respiratory & chest procedures,121,APR-DRG,,inpatient,,,12423,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12423,,,,,,,case rate,,16895,,,,,,,case rate,,12423,,,,,,,case rate,,12423,,,,,,,case rate,,12423,,,,,,,case rate,,14286,,,,,,,case rate,,13665,,,,,,,case rate,,12050,,,,,,,case rate,,12423,,,,,,,case rate,,12423,,,,,,,case rate,,12796,,,,,,,case rate,,27952,,,,,,,case rate,,12050,27952,
Other respiratory & chest procedures,121,APR-DRG,,inpatient,,,16726,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16726,,,,,,,case rate,,22748,,,,,,,case rate,,16726,,,,,,,case rate,,16726,,,,,,,case rate,,16726,,,,,,,case rate,,19235,,,,,,,case rate,,18399,,,,,,,case rate,,16225,,,,,,,case rate,,16726,,,,,,,case rate,,16726,,,,,,,case rate,,17228,,,,,,,case rate,,37634,,,,,,,case rate,,16225,37634,
Other respiratory & chest procedures,121,APR-DRG,,inpatient,,,29227,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29227,,,,,,,case rate,,39748,,,,,,,case rate,,29227,,,,,,,case rate,,29227,,,,,,,case rate,,29227,,,,,,,case rate,,33610,,,,,,,case rate,,32149,,,,,,,case rate,,28350,,,,,,,case rate,,29227,,,,,,,case rate,,29227,,,,,,,case rate,,30103,,,,,,,case rate,,65760,,,,,,,case rate,,28350,65760,
Other respiratory & chest procedures,121,APR-DRG,,inpatient,,,62255,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62255,,,,,,,case rate,,84667,,,,,,,case rate,,62255,,,,,,,case rate,,62255,,,,,,,case rate,,62255,,,,,,,case rate,,71593,,,,,,,case rate,,68480,,,,,,,case rate,,60387,,,,,,,case rate,,62255,,,,,,,case rate,,62255,,,,,,,case rate,,64123,,,,,,,case rate,,140073,,,,,,,case rate,,60387,140073,
"Other respiratory diagnoses except signs, symptoms & minor diagnoses",143,APR-DRG,,inpatient,,,5459,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5459,,,,,,,case rate,,7424,,,,,,,case rate,,5459,,,,,,,case rate,,5459,,,,,,,case rate,,5459,,,,,,,case rate,,6277,,,,,,,case rate,,6005,,,,,,,case rate,,5295,,,,,,,case rate,,5459,,,,,,,case rate,,5459,,,,,,,case rate,,5622,,,,,,,case rate,,12282,,,,,,,case rate,,5295,12282,
"Other respiratory diagnoses except signs, symptoms & minor diagnoses",143,APR-DRG,,inpatient,,,7801,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7801,,,,,,,case rate,,10609,,,,,,,case rate,,7801,,,,,,,case rate,,7801,,,,,,,case rate,,7801,,,,,,,case rate,,8971,,,,,,,case rate,,8581,,,,,,,case rate,,7567,,,,,,,case rate,,7801,,,,,,,case rate,,7801,,,,,,,case rate,,8035,,,,,,,case rate,,17552,,,,,,,case rate,,7567,17552,
"Other respiratory diagnoses except signs, symptoms & minor diagnoses",143,APR-DRG,,inpatient,,,13185,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13185,,,,,,,case rate,,17931,,,,,,,case rate,,13185,,,,,,,case rate,,13185,,,,,,,case rate,,13185,,,,,,,case rate,,15162,,,,,,,case rate,,14503,,,,,,,case rate,,12789,,,,,,,case rate,,13185,,,,,,,case rate,,13185,,,,,,,case rate,,13580,,,,,,,case rate,,29665,,,,,,,case rate,,12789,29665,
"Other respiratory diagnoses except signs, symptoms & minor diagnoses",143,APR-DRG,,inpatient,,,21149,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21149,,,,,,,case rate,,28763,,,,,,,case rate,,21149,,,,,,,case rate,,21149,,,,,,,case rate,,21149,,,,,,,case rate,,24321,,,,,,,case rate,,23264,,,,,,,case rate,,20515,,,,,,,case rate,,21149,,,,,,,case rate,,21149,,,,,,,case rate,,21784,,,,,,,case rate,,47585,,,,,,,case rate,,20515,47585,
Other significant hip and femur surgery,309,APR-DRG,,inpatient,,,12800,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12800,,,,,,,case rate,,17408,,,,,,,case rate,,12800,,,,,,,case rate,,12800,,,,,,,case rate,,12800,,,,,,,case rate,,14720,,,,,,,case rate,,14080,,,,,,,case rate,,12416,,,,,,,case rate,,12800,,,,,,,case rate,,12800,,,,,,,case rate,,13184,,,,,,,case rate,,28800,,,,,,,case rate,,12416,28800,
Other significant hip and femur surgery,309,APR-DRG,,inpatient,,,19269,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19269,,,,,,,case rate,,26206,,,,,,,case rate,,19269,,,,,,,case rate,,19269,,,,,,,case rate,,19269,,,,,,,case rate,,22160,,,,,,,case rate,,21196,,,,,,,case rate,,18691,,,,,,,case rate,,19269,,,,,,,case rate,,19269,,,,,,,case rate,,19847,,,,,,,case rate,,43356,,,,,,,case rate,,18691,43356,
Other significant hip and femur surgery,309,APR-DRG,,inpatient,,,31059,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31059,,,,,,,case rate,,42240,,,,,,,case rate,,31059,,,,,,,case rate,,31059,,,,,,,case rate,,31059,,,,,,,case rate,,35718,,,,,,,case rate,,34165,,,,,,,case rate,,30127,,,,,,,case rate,,31059,,,,,,,case rate,,31059,,,,,,,case rate,,31991,,,,,,,case rate,,69883,,,,,,,case rate,,30127,69883,
Other significant hip and femur surgery,309,APR-DRG,,inpatient,,,59048,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,59048,,,,,,,case rate,,80305,,,,,,,case rate,,59048,,,,,,,case rate,,59048,,,,,,,case rate,,59048,,,,,,,case rate,,67905,,,,,,,case rate,,64953,,,,,,,case rate,,57277,,,,,,,case rate,,59048,,,,,,,case rate,,59048,,,,,,,case rate,,60820,,,,,,,case rate,,132858,,,,,,,case rate,,57277,132858,
"Other skin, subcutaneous tissue & breast disorders",385,APR-DRG,,inpatient,,,4926,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4926,,,,,,,case rate,,6700,,,,,,,case rate,,4926,,,,,,,case rate,,4926,,,,,,,case rate,,4926,,,,,,,case rate,,5665,,,,,,,case rate,,5419,,,,,,,case rate,,4778,,,,,,,case rate,,4926,,,,,,,case rate,,4926,,,,,,,case rate,,5074,,,,,,,case rate,,11084,,,,,,,case rate,,4778,11084,
"Other skin, subcutaneous tissue & breast disorders",385,APR-DRG,,inpatient,,,6740,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6740,,,,,,,case rate,,9167,,,,,,,case rate,,6740,,,,,,,case rate,,6740,,,,,,,case rate,,6740,,,,,,,case rate,,7751,,,,,,,case rate,,7414,,,,,,,case rate,,6538,,,,,,,case rate,,6740,,,,,,,case rate,,6740,,,,,,,case rate,,6943,,,,,,,case rate,,15166,,,,,,,case rate,,6538,15166,
"Other skin, subcutaneous tissue & breast disorders",385,APR-DRG,,inpatient,,,11131,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11131,,,,,,,case rate,,15138,,,,,,,case rate,,11131,,,,,,,case rate,,11131,,,,,,,case rate,,11131,,,,,,,case rate,,12801,,,,,,,case rate,,12244,,,,,,,case rate,,10797,,,,,,,case rate,,11131,,,,,,,case rate,,11131,,,,,,,case rate,,11465,,,,,,,case rate,,25045,,,,,,,case rate,,10797,25045,
"Other skin, subcutaneous tissue & breast disorders",385,APR-DRG,,inpatient,,,29752,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29752,,,,,,,case rate,,40462,,,,,,,case rate,,29752,,,,,,,case rate,,29752,,,,,,,case rate,,29752,,,,,,,case rate,,34214,,,,,,,case rate,,32727,,,,,,,case rate,,28859,,,,,,,case rate,,29752,,,,,,,case rate,,29752,,,,,,,case rate,,30644,,,,,,,case rate,,66941,,,,,,,case rate,,28859,66941,
"Other skin, subcutaneous tissue & related procedures",364,APR-DRG,,inpatient,,,7909,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7909,,,,,,,case rate,,10756,,,,,,,case rate,,7909,,,,,,,case rate,,7909,,,,,,,case rate,,7909,,,,,,,case rate,,9095,,,,,,,case rate,,8700,,,,,,,case rate,,7672,,,,,,,case rate,,7909,,,,,,,case rate,,7909,,,,,,,case rate,,8146,,,,,,,case rate,,17795,,,,,,,case rate,,7672,17795,
"Other skin, subcutaneous tissue & related procedures",364,APR-DRG,,inpatient,,,11407,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11407,,,,,,,case rate,,15513,,,,,,,case rate,,11407,,,,,,,case rate,,11407,,,,,,,case rate,,11407,,,,,,,case rate,,13118,,,,,,,case rate,,12547,,,,,,,case rate,,11064,,,,,,,case rate,,11407,,,,,,,case rate,,11407,,,,,,,case rate,,11749,,,,,,,case rate,,25665,,,,,,,case rate,,11064,25665,
"Other skin, subcutaneous tissue & related procedures",364,APR-DRG,,inpatient,,,20793,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20793,,,,,,,case rate,,28279,,,,,,,case rate,,20793,,,,,,,case rate,,20793,,,,,,,case rate,,20793,,,,,,,case rate,,23912,,,,,,,case rate,,22873,,,,,,,case rate,,20170,,,,,,,case rate,,20793,,,,,,,case rate,,20793,,,,,,,case rate,,21417,,,,,,,case rate,,46785,,,,,,,case rate,,20170,46785,
"Other skin, subcutaneous tissue & related procedures",364,APR-DRG,,inpatient,,,54569,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,54569,,,,,,,case rate,,74214,,,,,,,case rate,,54569,,,,,,,case rate,,54569,,,,,,,case rate,,54569,,,,,,,case rate,,62754,,,,,,,case rate,,60026,,,,,,,case rate,,52932,,,,,,,case rate,,54569,,,,,,,case rate,,54569,,,,,,,case rate,,56206,,,,,,,case rate,,122780,,,,,,,case rate,,52932,122780,
Other small & large bowel procedures,223,APR-DRG,,inpatient,,,12096,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12096,,,,,,,case rate,,16451,,,,,,,case rate,,12096,,,,,,,case rate,,12096,,,,,,,case rate,,12096,,,,,,,case rate,,13911,,,,,,,case rate,,13306,,,,,,,case rate,,11733,,,,,,,case rate,,12096,,,,,,,case rate,,12096,,,,,,,case rate,,12459,,,,,,,case rate,,27216,,,,,,,case rate,,11733,27216,
Other small & large bowel procedures,223,APR-DRG,,inpatient,,,16184,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16184,,,,,,,case rate,,22010,,,,,,,case rate,,16184,,,,,,,case rate,,16184,,,,,,,case rate,,16184,,,,,,,case rate,,18611,,,,,,,case rate,,17802,,,,,,,case rate,,15698,,,,,,,case rate,,16184,,,,,,,case rate,,16184,,,,,,,case rate,,16669,,,,,,,case rate,,36413,,,,,,,case rate,,15698,36413,
Other small & large bowel procedures,223,APR-DRG,,inpatient,,,27343,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27343,,,,,,,case rate,,37186,,,,,,,case rate,,27343,,,,,,,case rate,,27343,,,,,,,case rate,,27343,,,,,,,case rate,,31444,,,,,,,case rate,,30077,,,,,,,case rate,,26522,,,,,,,case rate,,27343,,,,,,,case rate,,27343,,,,,,,case rate,,28163,,,,,,,case rate,,61521,,,,,,,case rate,,26522,61521,
Other small & large bowel procedures,223,APR-DRG,,inpatient,,,57336,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,57336,,,,,,,case rate,,77977,,,,,,,case rate,,57336,,,,,,,case rate,,57336,,,,,,,case rate,,57336,,,,,,,case rate,,65936,,,,,,,case rate,,63069,,,,,,,case rate,,55616,,,,,,,case rate,,57336,,,,,,,case rate,,57336,,,,,,,case rate,,59056,,,,,,,case rate,,129006,,,,,,,case rate,,55616,129006,
"Other stomach, esophageal & duodenal procedures",222,APR-DRG,,inpatient,,,8458,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8458,,,,,,,case rate,,11503,,,,,,,case rate,,8458,,,,,,,case rate,,8458,,,,,,,case rate,,8458,,,,,,,case rate,,9726,,,,,,,case rate,,9304,,,,,,,case rate,,8204,,,,,,,case rate,,8458,,,,,,,case rate,,8458,,,,,,,case rate,,8711,,,,,,,case rate,,19030,,,,,,,case rate,,8204,19030,
"Other stomach, esophageal & duodenal procedures",222,APR-DRG,,inpatient,,,11654,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11654,,,,,,,case rate,,15850,,,,,,,case rate,,11654,,,,,,,case rate,,11654,,,,,,,case rate,,11654,,,,,,,case rate,,13402,,,,,,,case rate,,12820,,,,,,,case rate,,11305,,,,,,,case rate,,11654,,,,,,,case rate,,11654,,,,,,,case rate,,12004,,,,,,,case rate,,26222,,,,,,,case rate,,11305,26222,
"Other stomach, esophageal & duodenal procedures",222,APR-DRG,,inpatient,,,21046,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21046,,,,,,,case rate,,28623,,,,,,,case rate,,21046,,,,,,,case rate,,21046,,,,,,,case rate,,21046,,,,,,,case rate,,24203,,,,,,,case rate,,23151,,,,,,,case rate,,20415,,,,,,,case rate,,21046,,,,,,,case rate,,21046,,,,,,,case rate,,21678,,,,,,,case rate,,47354,,,,,,,case rate,,20415,47354,
"Other stomach, esophageal & duodenal procedures",222,APR-DRG,,inpatient,,,56878,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,56878,,,,,,,case rate,,77355,,,,,,,case rate,,56878,,,,,,,case rate,,56878,,,,,,,case rate,,56878,,,,,,,case rate,,65410,,,,,,,case rate,,62566,,,,,,,case rate,,55172,,,,,,,case rate,,56878,,,,,,,case rate,,56878,,,,,,,case rate,,58585,,,,,,,case rate,,127977,,,,,,,case rate,,55172,127977,
P9011 - BLOOD (SPLIT UNIT),P9011,CPT,,both,,,102,102,,29,,,,,,,fee schedule,,131,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,35,,,,,,,fee schedule,,35,,,,,,,fee schedule,,86,,,,,,,fee schedule,,78,,,,,,,fee schedule,,78,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,76,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,71,,,,,,,fee schedule,,155,,,,,,,fee schedule,,29,155,
P9012 - CRYOPRECIPITATED AHG THAW,P9012,CPT,,both,,,11203,11203,,12582,,,,,,,case rate,,15139,,,,,,,case rate,,12222,,,,,,,case rate,,12222,,,,,,,case rate,,17520,,,,,,,case rate,,17520,,,,,,,case rate,,13077,,,,,,,case rate,,8505,,,,,,,case rate,,  ,,,,,,,case rate,,12021,,,,,,,case rate,,12021,,,,,,,case rate,,12021,,,,,,,case rate,,12261,,,,,,,case rate,,12021,,,,,,,case rate,,12021,,,,,,,case rate,,12021,,,,,,,case rate,,11179,,,,,,,case rate,,12021,,,,,,,case rate,,12021,,,,,,,case rate,,12021,,,,,,,case rate,,12021,,,,,,,case rate,,12261,,,,,,,case rate,,12862,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8505,17520,
"P9016 - RBC, LEUKOREDUCED",P9016,CPT,,both,,,25103,25103,,25678,,,,,,,case rate,,30896,,,,,,,case rate,,24944,,,,,,,case rate,,24944,,,,,,,case rate,,35756,,,,,,,case rate,,35756,,,,,,,case rate,,26688,,,,,,,case rate,,17357,,,,,,,case rate,,  ,,,,,,,case rate,,23116,,,,,,,case rate,,23116,,,,,,,case rate,,23116,,,,,,,case rate,,23578,,,,,,,case rate,,23116,,,,,,,case rate,,23116,,,,,,,case rate,,23116,,,,,,,case rate,,21498,,,,,,,case rate,,23116,,,,,,,case rate,,23116,,,,,,,case rate,,23116,,,,,,,case rate,,23116,,,,,,,case rate,,23578,,,,,,,case rate,,24734,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17357,35756,
P9022 - WASHED RED BLOOD CELLS,P9022,CPT,,both,,,30351,30351,,25760,,,,,,,case rate,,30995,,,,,,,case rate,,25023,,,,,,,case rate,,25023,,,,,,,case rate,,35870,,,,,,,case rate,,35870,,,,,,,case rate,,26773,,,,,,,case rate,,17412,,,,,,,case rate,,  ,,,,,,,case rate,,23185,,,,,,,case rate,,23185,,,,,,,case rate,,23185,,,,,,,case rate,,23649,,,,,,,case rate,,23185,,,,,,,case rate,,23185,,,,,,,case rate,,23185,,,,,,,case rate,,21562,,,,,,,case rate,,23185,,,,,,,case rate,,23185,,,,,,,case rate,,23185,,,,,,,case rate,,23185,,,,,,,case rate,,23649,,,,,,,case rate,,24808,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17412,35870,
P9034 - PLATELET PHERESIS,P9034,CPT,,both,,,18005,18005,,20764,,,,,,,case rate,,24984,,,,,,,case rate,,20171,,,,,,,case rate,,20171,,,,,,,case rate,,28914,,,,,,,case rate,,28914,,,,,,,case rate,,21581,,,,,,,case rate,,14036,,,,,,,case rate,,  ,,,,,,,case rate,,18953,,,,,,,case rate,,18953,,,,,,,case rate,,18953,,,,,,,case rate,,19332,,,,,,,case rate,,18953,,,,,,,case rate,,18953,,,,,,,case rate,,18953,,,,,,,case rate,,17626,,,,,,,case rate,,18953,,,,,,,case rate,,18953,,,,,,,case rate,,18953,,,,,,,case rate,,18953,,,,,,,case rate,,19332,,,,,,,case rate,,20280,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14036,28914,
"P9037 - PLATELET PHERESIS, LEUKO, IRR",P9037,CPT,,both,,,42571,42571,,25686,,,,,,,case rate,,30906,,,,,,,case rate,,24952,,,,,,,case rate,,24952,,,,,,,case rate,,35767,,,,,,,case rate,,35767,,,,,,,case rate,,26696,,,,,,,case rate,,17363,,,,,,,case rate,,  ,,,,,,,case rate,,23122,,,,,,,case rate,,23122,,,,,,,case rate,,23122,,,,,,,case rate,,23585,,,,,,,case rate,,23122,,,,,,,case rate,,23122,,,,,,,case rate,,23122,,,,,,,case rate,,21504,,,,,,,case rate,,23122,,,,,,,case rate,,23122,,,,,,,case rate,,23122,,,,,,,case rate,,23122,,,,,,,case rate,,23585,,,,,,,case rate,,24741,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17363,35767,
P9039 - FRZN DEGLYCEROLIZEDREDBLOODCEL,P9039,CPT,,both,,,21163,21163,,23254,,,,,,,case rate,,27980,,,,,,,case rate,,22589,,,,,,,case rate,,22589,,,,,,,case rate,,32381,,,,,,,case rate,,32381,,,,,,,case rate,,24169,,,,,,,case rate,,15719,,,,,,,case rate,,  ,,,,,,,case rate,,21062,,,,,,,case rate,,21062,,,,,,,case rate,,21062,,,,,,,case rate,,21483,,,,,,,case rate,,21062,,,,,,,case rate,,21062,,,,,,,case rate,,21062,,,,,,,case rate,,19588,,,,,,,case rate,,21062,,,,,,,case rate,,21062,,,,,,,case rate,,21062,,,,,,,case rate,,21062,,,,,,,case rate,,21483,,,,,,,case rate,,22537,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15719,32381,
"P9040 - RBC, LEUKOREDUCED, IRRADIATED",P9040,CPT,,both,,,24199,24199,,25756,,,,,,,case rate,,30991,,,,,,,case rate,,25020,,,,,,,case rate,,25020,,,,,,,case rate,,35865,,,,,,,case rate,,35865,,,,,,,case rate,,26770,,,,,,,case rate,,17410,,,,,,,case rate,,  ,,,,,,,case rate,,23182,,,,,,,case rate,,23182,,,,,,,case rate,,23182,,,,,,,case rate,,23646,,,,,,,case rate,,23182,,,,,,,case rate,,23182,,,,,,,case rate,,23182,,,,,,,case rate,,21559,,,,,,,case rate,,23182,,,,,,,case rate,,23182,,,,,,,case rate,,23182,,,,,,,case rate,,23182,,,,,,,case rate,,23646,,,,,,,case rate,,24805,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17410,35865,
P9045 - ALBUMIN 5% 500ML,P9045,CPT,,both,,,1167,1167,,26,,,,,,,fee schedule,,89,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,82,,,,,,,fee schedule,,69,,,,,,,fee schedule,,69,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,72,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,66,,,,,,,fee schedule,,67,,,,,,,fee schedule,,147,,,,,,,fee schedule,,26,147,
P9047 - ALBUNIN 25% 100ML,P9047,CPT,,both,,,12450,12450,,11922,,,,,,,case rate,,14345,,,,,,,case rate,,11582,,,,,,,case rate,,11582,,,,,,,case rate,,16602,,,,,,,case rate,,16602,,,,,,,case rate,,12391,,,,,,,case rate,,8059,,,,,,,case rate,,  ,,,,,,,case rate,,11462,,,,,,,case rate,,11462,,,,,,,case rate,,11462,,,,,,,case rate,,11691,,,,,,,case rate,,11462,,,,,,,case rate,,11462,,,,,,,case rate,,11462,,,,,,,case rate,,10659,,,,,,,case rate,,11462,,,,,,,case rate,,11462,,,,,,,case rate,,11462,,,,,,,case rate,,11462,,,,,,,case rate,,11691,,,,,,,case rate,,12264,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8059,16602,
P9073 - PLATELET PHERESIS PATH LEU RED,P9073,CPT,,both,,,20191,20191,,23355,,,,,,,case rate,,28101,,,,,,,case rate,,22687,,,,,,,case rate,,22687,,,,,,,case rate,,32521,,,,,,,case rate,,32521,,,,,,,case rate,,24273,,,,,,,case rate,,15787,,,,,,,case rate,,  ,,,,,,,case rate,,21147,,,,,,,case rate,,21147,,,,,,,case rate,,21147,,,,,,,case rate,,21570,,,,,,,case rate,,21147,,,,,,,case rate,,21147,,,,,,,case rate,,21147,,,,,,,case rate,,19667,,,,,,,case rate,,21147,,,,,,,case rate,,21147,,,,,,,case rate,,21147,,,,,,,case rate,,21147,,,,,,,case rate,,21570,,,,,,,case rate,,22628,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15787,32521,
Pancreas transplant,6,APR-DRG,,inpatient,,,51959,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51959,,,,,,,case rate,,70665,,,,,,,case rate,,51959,,,,,,,case rate,,51959,,,,,,,case rate,,51959,,,,,,,case rate,,59753,,,,,,,case rate,,57155,,,,,,,case rate,,50401,,,,,,,case rate,,51959,,,,,,,case rate,,51959,,,,,,,case rate,,53518,,,,,,,case rate,,116909,,,,,,,case rate,,50401,116909,
Pancreas transplant,6,APR-DRG,,inpatient,,,51959,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,51959,,,,,,,case rate,,70665,,,,,,,case rate,,51959,,,,,,,case rate,,51959,,,,,,,case rate,,51959,,,,,,,case rate,,59753,,,,,,,case rate,,57155,,,,,,,case rate,,50401,,,,,,,case rate,,51959,,,,,,,case rate,,51959,,,,,,,case rate,,53518,,,,,,,case rate,,116909,,,,,,,case rate,,50401,116909,
Pancreas transplant,6,APR-DRG,,inpatient,,,75175,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,75175,,,,,,,case rate,,102238,,,,,,,case rate,,75175,,,,,,,case rate,,75175,,,,,,,case rate,,75175,,,,,,,case rate,,86452,,,,,,,case rate,,82693,,,,,,,case rate,,72920,,,,,,,case rate,,75175,,,,,,,case rate,,75175,,,,,,,case rate,,77431,,,,,,,case rate,,169145,,,,,,,case rate,,72920,169145,
Pancreas transplant,6,APR-DRG,,inpatient,,,78513,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,78513,,,,,,,case rate,,106777,,,,,,,case rate,,78513,,,,,,,case rate,,78513,,,,,,,case rate,,78513,,,,,,,case rate,,90290,,,,,,,case rate,,86364,,,,,,,case rate,,76157,,,,,,,case rate,,78513,,,,,,,case rate,,78513,,,,,,,case rate,,80868,,,,,,,case rate,,176653,,,,,,,case rate,,76157,176653,
Partial thickness burns without skin graft,844,APR-DRG,,inpatient,,,6674,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6674,,,,,,,case rate,,9076,,,,,,,case rate,,6674,,,,,,,case rate,,6674,,,,,,,case rate,,6674,,,,,,,case rate,,7675,,,,,,,case rate,,7341,,,,,,,case rate,,6473,,,,,,,case rate,,6674,,,,,,,case rate,,6674,,,,,,,case rate,,6874,,,,,,,case rate,,15015,,,,,,,case rate,,6473,15015,
Partial thickness burns without skin graft,844,APR-DRG,,inpatient,,,10932,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10932,,,,,,,case rate,,14867,,,,,,,case rate,,10932,,,,,,,case rate,,10932,,,,,,,case rate,,10932,,,,,,,case rate,,12571,,,,,,,case rate,,12025,,,,,,,case rate,,10604,,,,,,,case rate,,10932,,,,,,,case rate,,10932,,,,,,,case rate,,11260,,,,,,,case rate,,24596,,,,,,,case rate,,10604,24596,
Partial thickness burns without skin graft,844,APR-DRG,,inpatient,,,19344,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19344,,,,,,,case rate,,26308,,,,,,,case rate,,19344,,,,,,,case rate,,19344,,,,,,,case rate,,19344,,,,,,,case rate,,22246,,,,,,,case rate,,21279,,,,,,,case rate,,18764,,,,,,,case rate,,19344,,,,,,,case rate,,19344,,,,,,,case rate,,19925,,,,,,,case rate,,43525,,,,,,,case rate,,18764,43525,
Partial thickness burns without skin graft,844,APR-DRG,,inpatient,,,52209,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,52209,,,,,,,case rate,,71004,,,,,,,case rate,,52209,,,,,,,case rate,,52209,,,,,,,case rate,,52209,,,,,,,case rate,,60041,,,,,,,case rate,,57430,,,,,,,case rate,,50643,,,,,,,case rate,,52209,,,,,,,case rate,,52209,,,,,,,case rate,,53775,,,,,,,case rate,,117471,,,,,,,case rate,,50643,117471,
"Pelvic evisceration, radical hysterectomy & other radical GYN procs",510,APR-DRG,,inpatient,,,11557,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11557,,,,,,,case rate,,15717,,,,,,,case rate,,11557,,,,,,,case rate,,11557,,,,,,,case rate,,11557,,,,,,,case rate,,13290,,,,,,,case rate,,12712,,,,,,,case rate,,11210,,,,,,,case rate,,11557,,,,,,,case rate,,11557,,,,,,,case rate,,11903,,,,,,,case rate,,26002,,,,,,,case rate,,11210,26002,
"Pelvic evisceration, radical hysterectomy & other radical GYN procs",510,APR-DRG,,inpatient,,,14737,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14737,,,,,,,case rate,,20042,,,,,,,case rate,,14737,,,,,,,case rate,,14737,,,,,,,case rate,,14737,,,,,,,case rate,,16947,,,,,,,case rate,,16210,,,,,,,case rate,,14294,,,,,,,case rate,,14737,,,,,,,case rate,,14737,,,,,,,case rate,,15179,,,,,,,case rate,,33157,,,,,,,case rate,,14294,33157,
"Pelvic evisceration, radical hysterectomy & other radical GYN procs",510,APR-DRG,,inpatient,,,27045,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27045,,,,,,,case rate,,36781,,,,,,,case rate,,27045,,,,,,,case rate,,27045,,,,,,,case rate,,27045,,,,,,,case rate,,31101,,,,,,,case rate,,29749,,,,,,,case rate,,26233,,,,,,,case rate,,27045,,,,,,,case rate,,27045,,,,,,,case rate,,27856,,,,,,,case rate,,60850,,,,,,,case rate,,26233,60850,
"Pelvic evisceration, radical hysterectomy & other radical GYN procs",510,APR-DRG,,inpatient,,,65875,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,65875,,,,,,,case rate,,89590,,,,,,,case rate,,65875,,,,,,,case rate,,65875,,,,,,,case rate,,65875,,,,,,,case rate,,75756,,,,,,,case rate,,72462,,,,,,,case rate,,63899,,,,,,,case rate,,65875,,,,,,,case rate,,65875,,,,,,,case rate,,67851,,,,,,,case rate,,148218,,,,,,,case rate,,63899,148218,
Penis procedures,481,APR-DRG,,inpatient,,,7627,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7627,,,,,,,case rate,,10373,,,,,,,case rate,,7627,,,,,,,case rate,,7627,,,,,,,case rate,,7627,,,,,,,case rate,,8771,,,,,,,case rate,,8390,,,,,,,case rate,,7398,,,,,,,case rate,,7627,,,,,,,case rate,,7627,,,,,,,case rate,,7856,,,,,,,case rate,,17161,,,,,,,case rate,,7398,17161,
Penis procedures,481,APR-DRG,,inpatient,,,12534,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12534,,,,,,,case rate,,17046,,,,,,,case rate,,12534,,,,,,,case rate,,12534,,,,,,,case rate,,12534,,,,,,,case rate,,14414,,,,,,,case rate,,13787,,,,,,,case rate,,12158,,,,,,,case rate,,12534,,,,,,,case rate,,12534,,,,,,,case rate,,12910,,,,,,,case rate,,28202,,,,,,,case rate,,12158,28202,
Penis procedures,481,APR-DRG,,inpatient,,,20089,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20089,,,,,,,case rate,,27322,,,,,,,case rate,,20089,,,,,,,case rate,,20089,,,,,,,case rate,,20089,,,,,,,case rate,,23103,,,,,,,case rate,,22098,,,,,,,case rate,,19487,,,,,,,case rate,,20089,,,,,,,case rate,,20089,,,,,,,case rate,,20692,,,,,,,case rate,,45201,,,,,,,case rate,,19487,45201,
Penis procedures,481,APR-DRG,,inpatient,,,21238,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21238,,,,,,,case rate,,28884,,,,,,,case rate,,21238,,,,,,,case rate,,21238,,,,,,,case rate,,21238,,,,,,,case rate,,24424,,,,,,,case rate,,23362,,,,,,,case rate,,20601,,,,,,,case rate,,21238,,,,,,,case rate,,21238,,,,,,,case rate,,21876,,,,,,,case rate,,47787,,,,,,,case rate,,20601,47787,
Peptic ulcer & gastritis,241,APR-DRG,,inpatient,,,5555,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5555,,,,,,,case rate,,7555,,,,,,,case rate,,5555,,,,,,,case rate,,5555,,,,,,,case rate,,5555,,,,,,,case rate,,6389,,,,,,,case rate,,6111,,,,,,,case rate,,5389,,,,,,,case rate,,5555,,,,,,,case rate,,5555,,,,,,,case rate,,5722,,,,,,,case rate,,12499,,,,,,,case rate,,5389,12499,
Peptic ulcer & gastritis,241,APR-DRG,,inpatient,,,7973,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7973,,,,,,,case rate,,10843,,,,,,,case rate,,7973,,,,,,,case rate,,7973,,,,,,,case rate,,7973,,,,,,,case rate,,9169,,,,,,,case rate,,8770,,,,,,,case rate,,7733,,,,,,,case rate,,7973,,,,,,,case rate,,7973,,,,,,,case rate,,8212,,,,,,,case rate,,17938,,,,,,,case rate,,7733,17938,
Peptic ulcer & gastritis,241,APR-DRG,,inpatient,,,12772,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12772,,,,,,,case rate,,17371,,,,,,,case rate,,12772,,,,,,,case rate,,12772,,,,,,,case rate,,12772,,,,,,,case rate,,14688,,,,,,,case rate,,14050,,,,,,,case rate,,12389,,,,,,,case rate,,12772,,,,,,,case rate,,12772,,,,,,,case rate,,13156,,,,,,,case rate,,28738,,,,,,,case rate,,12389,28738,
Peptic ulcer & gastritis,241,APR-DRG,,inpatient,,,32167,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32167,,,,,,,case rate,,43747,,,,,,,case rate,,32167,,,,,,,case rate,,32167,,,,,,,case rate,,32167,,,,,,,case rate,,36992,,,,,,,case rate,,35384,,,,,,,case rate,,31202,,,,,,,case rate,,32167,,,,,,,case rate,,32167,,,,,,,case rate,,33132,,,,,,,case rate,,72376,,,,,,,case rate,,31202,72376,
Percutaneous coronary intervention w AMI,174,APR-DRG,,inpatient,,,18141,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18141,,,,,,,case rate,,24671,,,,,,,case rate,,18141,,,,,,,case rate,,18141,,,,,,,case rate,,18141,,,,,,,case rate,,20862,,,,,,,case rate,,19955,,,,,,,case rate,,17596,,,,,,,case rate,,18141,,,,,,,case rate,,18141,,,,,,,case rate,,18685,,,,,,,case rate,,40817,,,,,,,case rate,,17596,40817,
Percutaneous coronary intervention w AMI,174,APR-DRG,,inpatient,,,19963,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19963,,,,,,,case rate,,27150,,,,,,,case rate,,19963,,,,,,,case rate,,19963,,,,,,,case rate,,19963,,,,,,,case rate,,22957,,,,,,,case rate,,21959,,,,,,,case rate,,19364,,,,,,,case rate,,19963,,,,,,,case rate,,19963,,,,,,,case rate,,20562,,,,,,,case rate,,44917,,,,,,,case rate,,19364,44917,
Percutaneous coronary intervention w AMI,174,APR-DRG,,inpatient,,,25761,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25761,,,,,,,case rate,,35035,,,,,,,case rate,,25761,,,,,,,case rate,,25761,,,,,,,case rate,,25761,,,,,,,case rate,,29625,,,,,,,case rate,,28337,,,,,,,case rate,,24988,,,,,,,case rate,,25761,,,,,,,case rate,,25761,,,,,,,case rate,,26534,,,,,,,case rate,,57962,,,,,,,case rate,,24988,57962,
Percutaneous coronary intervention w AMI,174,APR-DRG,,inpatient,,,39352,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,39352,,,,,,,case rate,,53519,,,,,,,case rate,,39352,,,,,,,case rate,,39352,,,,,,,case rate,,39352,,,,,,,case rate,,45255,,,,,,,case rate,,43288,,,,,,,case rate,,38172,,,,,,,case rate,,39352,,,,,,,case rate,,39352,,,,,,,case rate,,40533,,,,,,,case rate,,88543,,,,,,,case rate,,38172,88543,
Percutaneous coronary intervention w/o AMI,175,APR-DRG,,inpatient,,,15164,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15164,,,,,,,case rate,,20623,,,,,,,case rate,,15164,,,,,,,case rate,,15164,,,,,,,case rate,,15164,,,,,,,case rate,,17439,,,,,,,case rate,,16681,,,,,,,case rate,,14709,,,,,,,case rate,,15164,,,,,,,case rate,,15164,,,,,,,case rate,,15619,,,,,,,case rate,,34119,,,,,,,case rate,,14709,34119,
Percutaneous coronary intervention w/o AMI,175,APR-DRG,,inpatient,,,17206,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17206,,,,,,,case rate,,23401,,,,,,,case rate,,17206,,,,,,,case rate,,17206,,,,,,,case rate,,17206,,,,,,,case rate,,19787,,,,,,,case rate,,18927,,,,,,,case rate,,16690,,,,,,,case rate,,17206,,,,,,,case rate,,17206,,,,,,,case rate,,17723,,,,,,,case rate,,38714,,,,,,,case rate,,16690,38714,
Percutaneous coronary intervention w/o AMI,175,APR-DRG,,inpatient,,,24856,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24856,,,,,,,case rate,,33805,,,,,,,case rate,,24856,,,,,,,case rate,,24856,,,,,,,case rate,,24856,,,,,,,case rate,,28585,,,,,,,case rate,,27342,,,,,,,case rate,,24111,,,,,,,case rate,,24856,,,,,,,case rate,,24856,,,,,,,case rate,,25602,,,,,,,case rate,,55927,,,,,,,case rate,,24111,55927,
Percutaneous coronary intervention w/o AMI,175,APR-DRG,,inpatient,,,50472,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,50472,,,,,,,case rate,,68642,,,,,,,case rate,,50472,,,,,,,case rate,,50472,,,,,,,case rate,,50472,,,,,,,case rate,,58043,,,,,,,case rate,,55519,,,,,,,case rate,,48958,,,,,,,case rate,,50472,,,,,,,case rate,,50472,,,,,,,case rate,,51986,,,,,,,case rate,,113562,,,,,,,case rate,,48958,113562,
Peripheral & other vascular disorders,197,APR-DRG,,inpatient,,,6023,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6023,,,,,,,case rate,,8191,,,,,,,case rate,,6023,,,,,,,case rate,,6023,,,,,,,case rate,,6023,,,,,,,case rate,,6926,,,,,,,case rate,,6625,,,,,,,case rate,,5842,,,,,,,case rate,,6023,,,,,,,case rate,,6023,,,,,,,case rate,,6204,,,,,,,case rate,,13552,,,,,,,case rate,,5842,13552,
Peripheral & other vascular disorders,197,APR-DRG,,inpatient,,,8143,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8143,,,,,,,case rate,,11075,,,,,,,case rate,,8143,,,,,,,case rate,,8143,,,,,,,case rate,,8143,,,,,,,case rate,,9365,,,,,,,case rate,,8958,,,,,,,case rate,,7899,,,,,,,case rate,,8143,,,,,,,case rate,,8143,,,,,,,case rate,,8388,,,,,,,case rate,,18322,,,,,,,case rate,,7899,18322,
Peripheral & other vascular disorders,197,APR-DRG,,inpatient,,,12137,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12137,,,,,,,case rate,,16507,,,,,,,case rate,,12137,,,,,,,case rate,,12137,,,,,,,case rate,,12137,,,,,,,case rate,,13958,,,,,,,case rate,,13351,,,,,,,case rate,,11773,,,,,,,case rate,,12137,,,,,,,case rate,,12137,,,,,,,case rate,,12501,,,,,,,case rate,,27309,,,,,,,case rate,,11773,27309,
Peripheral & other vascular disorders,197,APR-DRG,,inpatient,,,29435,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29435,,,,,,,case rate,,40032,,,,,,,case rate,,29435,,,,,,,case rate,,29435,,,,,,,case rate,,29435,,,,,,,case rate,,33850,,,,,,,case rate,,32379,,,,,,,case rate,,28552,,,,,,,case rate,,29435,,,,,,,case rate,,29435,,,,,,,case rate,,30318,,,,,,,case rate,,66229,,,,,,,case rate,,28552,66229,
"Peripheral, cranial & autonomic nerve disorders",48,APR-DRG,,inpatient,,,5692,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5692,,,,,,,case rate,,7741,,,,,,,case rate,,5692,,,,,,,case rate,,5692,,,,,,,case rate,,5692,,,,,,,case rate,,6546,,,,,,,case rate,,6261,,,,,,,case rate,,5521,,,,,,,case rate,,5692,,,,,,,case rate,,5692,,,,,,,case rate,,5863,,,,,,,case rate,,12807,,,,,,,case rate,,5521,12807,
"Peripheral, cranial & autonomic nerve disorders",48,APR-DRG,,inpatient,,,7599,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7599,,,,,,,case rate,,10334,,,,,,,case rate,,7599,,,,,,,case rate,,7599,,,,,,,case rate,,7599,,,,,,,case rate,,8738,,,,,,,case rate,,8358,,,,,,,case rate,,7371,,,,,,,case rate,,7599,,,,,,,case rate,,7599,,,,,,,case rate,,7826,,,,,,,case rate,,17097,,,,,,,case rate,,7371,17097,
"Peripheral, cranial & autonomic nerve disorders",48,APR-DRG,,inpatient,,,11368,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11368,,,,,,,case rate,,15461,,,,,,,case rate,,11368,,,,,,,case rate,,11368,,,,,,,case rate,,11368,,,,,,,case rate,,13074,,,,,,,case rate,,12505,,,,,,,case rate,,11027,,,,,,,case rate,,11368,,,,,,,case rate,,11368,,,,,,,case rate,,11710,,,,,,,case rate,,25579,,,,,,,case rate,,11027,25579,
"Peripheral, cranial & autonomic nerve disorders",48,APR-DRG,,inpatient,,,35812,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35812,,,,,,,case rate,,48704,,,,,,,case rate,,35812,,,,,,,case rate,,35812,,,,,,,case rate,,35812,,,,,,,case rate,,41183,,,,,,,case rate,,39393,,,,,,,case rate,,34737,,,,,,,case rate,,35812,,,,,,,case rate,,35812,,,,,,,case rate,,36886,,,,,,,case rate,,80576,,,,,,,case rate,,34737,80576,
Peritoneal adhesiolysis,224,APR-DRG,,inpatient,,,12352,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12352,,,,,,,case rate,,16799,,,,,,,case rate,,12352,,,,,,,case rate,,12352,,,,,,,case rate,,12352,,,,,,,case rate,,14205,,,,,,,case rate,,13587,,,,,,,case rate,,11982,,,,,,,case rate,,12352,,,,,,,case rate,,12352,,,,,,,case rate,,12723,,,,,,,case rate,,27792,,,,,,,case rate,,11982,27792,
Peritoneal adhesiolysis,224,APR-DRG,,inpatient,,,16458,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16458,,,,,,,case rate,,22383,,,,,,,case rate,,16458,,,,,,,case rate,,16458,,,,,,,case rate,,16458,,,,,,,case rate,,18927,,,,,,,case rate,,18104,,,,,,,case rate,,15964,,,,,,,case rate,,16458,,,,,,,case rate,,16458,,,,,,,case rate,,16952,,,,,,,case rate,,37031,,,,,,,case rate,,15964,37031,
Peritoneal adhesiolysis,224,APR-DRG,,inpatient,,,27276,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27276,,,,,,,case rate,,37095,,,,,,,case rate,,27276,,,,,,,case rate,,27276,,,,,,,case rate,,27276,,,,,,,case rate,,31367,,,,,,,case rate,,30003,,,,,,,case rate,,26457,,,,,,,case rate,,27276,,,,,,,case rate,,27276,,,,,,,case rate,,28094,,,,,,,case rate,,61370,,,,,,,case rate,,26457,61370,
Peritoneal adhesiolysis,224,APR-DRG,,inpatient,,,57234,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,57234,,,,,,,case rate,,77838,,,,,,,case rate,,57234,,,,,,,case rate,,57234,,,,,,,case rate,,57234,,,,,,,case rate,,65819,,,,,,,case rate,,62957,,,,,,,case rate,,55517,,,,,,,case rate,,57234,,,,,,,case rate,,57234,,,,,,,case rate,,58951,,,,,,,case rate,,128777,,,,,,,case rate,,55517,128777,
"Perm cardiac pacemaker implant w/o AMI, heart failure or shock",171,APR-DRG,,inpatient,,,17882,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17882,,,,,,,case rate,,24319,,,,,,,case rate,,17882,,,,,,,case rate,,17882,,,,,,,case rate,,17882,,,,,,,case rate,,20564,,,,,,,case rate,,19670,,,,,,,case rate,,17345,,,,,,,case rate,,17882,,,,,,,case rate,,17882,,,,,,,case rate,,18418,,,,,,,case rate,,40234,,,,,,,case rate,,17345,40234,
"Perm cardiac pacemaker implant w/o AMI, heart failure or shock",171,APR-DRG,,inpatient,,,22036,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22036,,,,,,,case rate,,29969,,,,,,,case rate,,22036,,,,,,,case rate,,22036,,,,,,,case rate,,22036,,,,,,,case rate,,25341,,,,,,,case rate,,24240,,,,,,,case rate,,21375,,,,,,,case rate,,22036,,,,,,,case rate,,22036,,,,,,,case rate,,22697,,,,,,,case rate,,49581,,,,,,,case rate,,21375,49581,
"Perm cardiac pacemaker implant w/o AMI, heart failure or shock",171,APR-DRG,,inpatient,,,30710,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30710,,,,,,,case rate,,41765,,,,,,,case rate,,30710,,,,,,,case rate,,30710,,,,,,,case rate,,30710,,,,,,,case rate,,35316,,,,,,,case rate,,33781,,,,,,,case rate,,29788,,,,,,,case rate,,30710,,,,,,,case rate,,30710,,,,,,,case rate,,31631,,,,,,,case rate,,69097,,,,,,,case rate,,29788,69097,
"Perm cardiac pacemaker implant w/o AMI, heart failure or shock",171,APR-DRG,,inpatient,,,61296,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,61296,,,,,,,case rate,,83362,,,,,,,case rate,,61296,,,,,,,case rate,,61296,,,,,,,case rate,,61296,,,,,,,case rate,,70490,,,,,,,case rate,,67426,,,,,,,case rate,,59457,,,,,,,case rate,,61296,,,,,,,case rate,,61296,,,,,,,case rate,,63135,,,,,,,case rate,,137916,,,,,,,case rate,,59457,137916,
"Permanent cardiac pacemaker implant w AMI, heart failure or shock",170,APR-DRG,,inpatient,,,27808,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27808,,,,,,,case rate,,37819,,,,,,,case rate,,27808,,,,,,,case rate,,27808,,,,,,,case rate,,27808,,,,,,,case rate,,31979,,,,,,,case rate,,30589,,,,,,,case rate,,26974,,,,,,,case rate,,27808,,,,,,,case rate,,27808,,,,,,,case rate,,28642,,,,,,,case rate,,62568,,,,,,,case rate,,26974,62568,
"Permanent cardiac pacemaker implant w AMI, heart failure or shock",170,APR-DRG,,inpatient,,,28114,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28114,,,,,,,case rate,,38236,,,,,,,case rate,,28114,,,,,,,case rate,,28114,,,,,,,case rate,,28114,,,,,,,case rate,,32332,,,,,,,case rate,,30926,,,,,,,case rate,,27271,,,,,,,case rate,,28114,,,,,,,case rate,,28114,,,,,,,case rate,,28958,,,,,,,case rate,,63257,,,,,,,case rate,,27271,63257,
"Permanent cardiac pacemaker implant w AMI, heart failure or shock",170,APR-DRG,,inpatient,,,37032,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,37032,,,,,,,case rate,,50363,,,,,,,case rate,,37032,,,,,,,case rate,,37032,,,,,,,case rate,,37032,,,,,,,case rate,,42586,,,,,,,case rate,,40735,,,,,,,case rate,,35921,,,,,,,case rate,,37032,,,,,,,case rate,,37032,,,,,,,case rate,,38143,,,,,,,case rate,,83321,,,,,,,case rate,,35921,83321,
"Permanent cardiac pacemaker implant w AMI, heart failure or shock",170,APR-DRG,,inpatient,,,49463,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,49463,,,,,,,case rate,,67270,,,,,,,case rate,,49463,,,,,,,case rate,,49463,,,,,,,case rate,,49463,,,,,,,case rate,,56882,,,,,,,case rate,,54409,,,,,,,case rate,,47979,,,,,,,case rate,,49463,,,,,,,case rate,,49463,,,,,,,case rate,,50947,,,,,,,case rate,,111291,,,,,,,case rate,,47979,111291,
Pituitary & adrenal procedures,401,APR-DRG,,inpatient,,,12715,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12715,,,,,,,case rate,,17292,,,,,,,case rate,,12715,,,,,,,case rate,,12715,,,,,,,case rate,,12715,,,,,,,case rate,,14622,,,,,,,case rate,,13986,,,,,,,case rate,,12333,,,,,,,case rate,,12715,,,,,,,case rate,,12715,,,,,,,case rate,,13096,,,,,,,case rate,,28609,,,,,,,case rate,,12333,28609,
Pituitary & adrenal procedures,401,APR-DRG,,inpatient,,,17399,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17399,,,,,,,case rate,,23662,,,,,,,case rate,,17399,,,,,,,case rate,,17399,,,,,,,case rate,,17399,,,,,,,case rate,,20008,,,,,,,case rate,,19138,,,,,,,case rate,,16877,,,,,,,case rate,,17399,,,,,,,case rate,,17399,,,,,,,case rate,,17921,,,,,,,case rate,,39147,,,,,,,case rate,,16877,39147,
Pituitary & adrenal procedures,401,APR-DRG,,inpatient,,,31850,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,31850,,,,,,,case rate,,43317,,,,,,,case rate,,31850,,,,,,,case rate,,31850,,,,,,,case rate,,31850,,,,,,,case rate,,36628,,,,,,,case rate,,35036,,,,,,,case rate,,30895,,,,,,,case rate,,31850,,,,,,,case rate,,31850,,,,,,,case rate,,32806,,,,,,,case rate,,71664,,,,,,,case rate,,30895,71664,
Pituitary & adrenal procedures,401,APR-DRG,,inpatient,,,71820,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,71820,,,,,,,case rate,,97675,,,,,,,case rate,,71820,,,,,,,case rate,,71820,,,,,,,case rate,,71820,,,,,,,case rate,,82593,,,,,,,case rate,,79002,,,,,,,case rate,,69665,,,,,,,case rate,,71820,,,,,,,case rate,,71820,,,,,,,case rate,,73974,,,,,,,case rate,,161594,,,,,,,case rate,,69665,161594,
Poisoning of medicinal agents,812,APR-DRG,,inpatient,,,4209,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4209,,,,,,,case rate,,5724,,,,,,,case rate,,4209,,,,,,,case rate,,4209,,,,,,,case rate,,4209,,,,,,,case rate,,4840,,,,,,,case rate,,4630,,,,,,,case rate,,4083,,,,,,,case rate,,4209,,,,,,,case rate,,4209,,,,,,,case rate,,4335,,,,,,,case rate,,9470,,,,,,,case rate,,4083,9470,
Poisoning of medicinal agents,812,APR-DRG,,inpatient,,,5574,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5574,,,,,,,case rate,,7580,,,,,,,case rate,,5574,,,,,,,case rate,,5574,,,,,,,case rate,,5574,,,,,,,case rate,,6410,,,,,,,case rate,,6131,,,,,,,case rate,,5407,,,,,,,case rate,,5574,,,,,,,case rate,,5574,,,,,,,case rate,,5741,,,,,,,case rate,,12541,,,,,,,case rate,,5407,12541,
Poisoning of medicinal agents,812,APR-DRG,,inpatient,,,9456,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9456,,,,,,,case rate,,12860,,,,,,,case rate,,9456,,,,,,,case rate,,9456,,,,,,,case rate,,9456,,,,,,,case rate,,10874,,,,,,,case rate,,10401,,,,,,,case rate,,9172,,,,,,,case rate,,9456,,,,,,,case rate,,9456,,,,,,,case rate,,9739,,,,,,,case rate,,21275,,,,,,,case rate,,9172,21275,
Poisoning of medicinal agents,812,APR-DRG,,inpatient,,,22472,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22472,,,,,,,case rate,,30562,,,,,,,case rate,,22472,,,,,,,case rate,,22472,,,,,,,case rate,,22472,,,,,,,case rate,,25843,,,,,,,case rate,,24719,,,,,,,case rate,,21798,,,,,,,case rate,,22472,,,,,,,case rate,,22472,,,,,,,case rate,,23146,,,,,,,case rate,,50562,,,,,,,case rate,,21798,50562,
"Post-op, post-trauma, other device infections w O.R. procedure",711,APR-DRG,,inpatient,,,11905,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11905,,,,,,,case rate,,16191,,,,,,,case rate,,11905,,,,,,,case rate,,11905,,,,,,,case rate,,11905,,,,,,,case rate,,13691,,,,,,,case rate,,13096,,,,,,,case rate,,11548,,,,,,,case rate,,11905,,,,,,,case rate,,11905,,,,,,,case rate,,12262,,,,,,,case rate,,26786,,,,,,,case rate,,11548,26786,
"Post-op, post-trauma, other device infections w O.R. procedure",711,APR-DRG,,inpatient,,,16285,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16285,,,,,,,case rate,,22148,,,,,,,case rate,,16285,,,,,,,case rate,,16285,,,,,,,case rate,,16285,,,,,,,case rate,,18728,,,,,,,case rate,,17914,,,,,,,case rate,,15797,,,,,,,case rate,,16285,,,,,,,case rate,,16285,,,,,,,case rate,,16774,,,,,,,case rate,,36642,,,,,,,case rate,,15797,36642,
"Post-op, post-trauma, other device infections w O.R. procedure",711,APR-DRG,,inpatient,,,29548,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29548,,,,,,,case rate,,40186,,,,,,,case rate,,29548,,,,,,,case rate,,29548,,,,,,,case rate,,29548,,,,,,,case rate,,33980,,,,,,,case rate,,32503,,,,,,,case rate,,28662,,,,,,,case rate,,29548,,,,,,,case rate,,29548,,,,,,,case rate,,30435,,,,,,,case rate,,66483,,,,,,,case rate,,28662,66483,
"Post-op, post-trauma, other device infections w O.R. procedure",711,APR-DRG,,inpatient,,,62037,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62037,,,,,,,case rate,,84370,,,,,,,case rate,,62037,,,,,,,case rate,,62037,,,,,,,case rate,,62037,,,,,,,case rate,,71343,,,,,,,case rate,,68241,,,,,,,case rate,,60176,,,,,,,case rate,,62037,,,,,,,case rate,,62037,,,,,,,case rate,,63898,,,,,,,case rate,,139583,,,,,,,case rate,,60176,139583,
"Post-operative, post-traumatic, other device infections",721,APR-DRG,,inpatient,,,6617,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6617,,,,,,,case rate,,8999,,,,,,,case rate,,6617,,,,,,,case rate,,6617,,,,,,,case rate,,6617,,,,,,,case rate,,7610,,,,,,,case rate,,7279,,,,,,,case rate,,6418,,,,,,,case rate,,6617,,,,,,,case rate,,6617,,,,,,,case rate,,6815,,,,,,,case rate,,14888,,,,,,,case rate,,6418,14888,
"Post-operative, post-traumatic, other device infections",721,APR-DRG,,inpatient,,,8700,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8700,,,,,,,case rate,,11832,,,,,,,case rate,,8700,,,,,,,case rate,,8700,,,,,,,case rate,,8700,,,,,,,case rate,,10005,,,,,,,case rate,,9570,,,,,,,case rate,,8439,,,,,,,case rate,,8700,,,,,,,case rate,,8700,,,,,,,case rate,,8961,,,,,,,case rate,,19576,,,,,,,case rate,,8439,19576,
"Post-operative, post-traumatic, other device infections",721,APR-DRG,,inpatient,,,14714,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14714,,,,,,,case rate,,20011,,,,,,,case rate,,14714,,,,,,,case rate,,14714,,,,,,,case rate,,14714,,,,,,,case rate,,16921,,,,,,,case rate,,16185,,,,,,,case rate,,14273,,,,,,,case rate,,14714,,,,,,,case rate,,14714,,,,,,,case rate,,15155,,,,,,,case rate,,33106,,,,,,,case rate,,14273,33106,
"Post-operative, post-traumatic, other device infections",721,APR-DRG,,inpatient,,,29097,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29097,,,,,,,case rate,,39572,,,,,,,case rate,,29097,,,,,,,case rate,,29097,,,,,,,case rate,,29097,,,,,,,case rate,,33462,,,,,,,case rate,,32007,,,,,,,case rate,,28224,,,,,,,case rate,,29097,,,,,,,case rate,,29097,,,,,,,case rate,,29970,,,,,,,case rate,,65468,,,,,,,case rate,,28224,65468,
Postpartum & post abortion diagnoses w/o procedure,561,APR-DRG,,inpatient,,,3895,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3895,,,,,,,case rate,,5298,,,,,,,case rate,,3895,,,,,,,case rate,,3895,,,,,,,case rate,,3895,,,,,,,case rate,,4480,,,,,,,case rate,,4285,,,,,,,case rate,,3779,,,,,,,case rate,,3895,,,,,,,case rate,,3895,,,,,,,case rate,,4012,,,,,,,case rate,,8765,,,,,,,case rate,,3779,8765,
Postpartum & post abortion diagnoses w/o procedure,561,APR-DRG,,inpatient,,,4611,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4611,,,,,,,case rate,,6271,,,,,,,case rate,,4611,,,,,,,case rate,,4611,,,,,,,case rate,,4611,,,,,,,case rate,,5302,,,,,,,case rate,,5072,,,,,,,case rate,,4472,,,,,,,case rate,,4611,,,,,,,case rate,,4611,,,,,,,case rate,,4749,,,,,,,case rate,,10374,,,,,,,case rate,,4472,10374,
Postpartum & post abortion diagnoses w/o procedure,561,APR-DRG,,inpatient,,,6924,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6924,,,,,,,case rate,,9417,,,,,,,case rate,,6924,,,,,,,case rate,,6924,,,,,,,case rate,,6924,,,,,,,case rate,,7963,,,,,,,case rate,,7617,,,,,,,case rate,,6717,,,,,,,case rate,,6924,,,,,,,case rate,,6924,,,,,,,case rate,,7132,,,,,,,case rate,,15580,,,,,,,case rate,,6717,15580,
Postpartum & post abortion diagnoses w/o procedure,561,APR-DRG,,inpatient,,,14983,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14983,,,,,,,case rate,,20377,,,,,,,case rate,,14983,,,,,,,case rate,,14983,,,,,,,case rate,,14983,,,,,,,case rate,,17231,,,,,,,case rate,,16482,,,,,,,case rate,,14534,,,,,,,case rate,,14983,,,,,,,case rate,,14983,,,,,,,case rate,,15433,,,,,,,case rate,,33712,,,,,,,case rate,,14534,33712,
Preterm labor,563,APR-DRG,,inpatient,,,3577,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,3577,,,,,,,case rate,,4864,,,,,,,case rate,,3577,,,,,,,case rate,,3577,,,,,,,case rate,,3577,,,,,,,case rate,,4113,,,,,,,case rate,,3934,,,,,,,case rate,,3469,,,,,,,case rate,,3577,,,,,,,case rate,,3577,,,,,,,case rate,,3684,,,,,,,case rate,,8048,,,,,,,case rate,,3469,8048,
Preterm labor,563,APR-DRG,,inpatient,,,4304,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4304,,,,,,,case rate,,5854,,,,,,,case rate,,4304,,,,,,,case rate,,4304,,,,,,,case rate,,4304,,,,,,,case rate,,4950,,,,,,,case rate,,4735,,,,,,,case rate,,4175,,,,,,,case rate,,4304,,,,,,,case rate,,4304,,,,,,,case rate,,4434,,,,,,,case rate,,9685,,,,,,,case rate,,4175,9685,
Preterm labor,563,APR-DRG,,inpatient,,,6111,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6111,,,,,,,case rate,,8311,,,,,,,case rate,,6111,,,,,,,case rate,,6111,,,,,,,case rate,,6111,,,,,,,case rate,,7028,,,,,,,case rate,,6722,,,,,,,case rate,,5928,,,,,,,case rate,,6111,,,,,,,case rate,,6111,,,,,,,case rate,,6295,,,,,,,case rate,,13750,,,,,,,case rate,,5928,13750,
Preterm labor,563,APR-DRG,,inpatient,,,6111,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6111,,,,,,,case rate,,8311,,,,,,,case rate,,6111,,,,,,,case rate,,6111,,,,,,,case rate,,6111,,,,,,,case rate,,7028,,,,,,,case rate,,6722,,,,,,,case rate,,5928,,,,,,,case rate,,6111,,,,,,,case rate,,6111,,,,,,,case rate,,6295,,,,,,,case rate,,13750,,,,,,,case rate,,5928,13750,
"Procedure w diag of rehab, aftercare or oth contact w health service",850,APR-DRG,,inpatient,,,11934,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11934,,,,,,,case rate,,16230,,,,,,,case rate,,11934,,,,,,,case rate,,11934,,,,,,,case rate,,11934,,,,,,,case rate,,13724,,,,,,,case rate,,13127,,,,,,,case rate,,11576,,,,,,,case rate,,11934,,,,,,,case rate,,11934,,,,,,,case rate,,12292,,,,,,,case rate,,26851,,,,,,,case rate,,11576,26851,
"Procedure w diag of rehab, aftercare or oth contact w health service",850,APR-DRG,,inpatient,,,17039,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17039,,,,,,,case rate,,23173,,,,,,,case rate,,17039,,,,,,,case rate,,17039,,,,,,,case rate,,17039,,,,,,,case rate,,19595,,,,,,,case rate,,18743,,,,,,,case rate,,16528,,,,,,,case rate,,17039,,,,,,,case rate,,17039,,,,,,,case rate,,17550,,,,,,,case rate,,38337,,,,,,,case rate,,16528,38337,
"Procedure w diag of rehab, aftercare or oth contact w health service",850,APR-DRG,,inpatient,,,33273,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33273,,,,,,,case rate,,45251,,,,,,,case rate,,33273,,,,,,,case rate,,33273,,,,,,,case rate,,33273,,,,,,,case rate,,38264,,,,,,,case rate,,36600,,,,,,,case rate,,32275,,,,,,,case rate,,33273,,,,,,,case rate,,33273,,,,,,,case rate,,34271,,,,,,,case rate,,74864,,,,,,,case rate,,32275,74864,
"Procedure w diag of rehab, aftercare or oth contact w health service",850,APR-DRG,,inpatient,,,78387,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,78387,,,,,,,case rate,,106607,,,,,,,case rate,,78387,,,,,,,case rate,,78387,,,,,,,case rate,,78387,,,,,,,case rate,,90145,,,,,,,case rate,,86226,,,,,,,case rate,,76036,,,,,,,case rate,,78387,,,,,,,case rate,,78387,,,,,,,case rate,,80739,,,,,,,case rate,,176371,,,,,,,case rate,,76036,176371,
Procedures for obesity,403,APR-DRG,,inpatient,,,11717,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11717,,,,,,,case rate,,15935,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,13474,,,,,,,case rate,,12889,,,,,,,case rate,,11365,,,,,,,case rate,,11717,,,,,,,case rate,,11717,,,,,,,case rate,,12068,,,,,,,case rate,,26363,,,,,,,case rate,,11365,26363,
Procedures for obesity,403,APR-DRG,,inpatient,,,13172,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13172,,,,,,,case rate,,17914,,,,,,,case rate,,13172,,,,,,,case rate,,13172,,,,,,,case rate,,13172,,,,,,,case rate,,15148,,,,,,,case rate,,14490,,,,,,,case rate,,12777,,,,,,,case rate,,13172,,,,,,,case rate,,13172,,,,,,,case rate,,13567,,,,,,,case rate,,29638,,,,,,,case rate,,12777,29638,
Procedures for obesity,403,APR-DRG,,inpatient,,,21590,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21590,,,,,,,case rate,,29362,,,,,,,case rate,,21590,,,,,,,case rate,,21590,,,,,,,case rate,,21590,,,,,,,case rate,,24828,,,,,,,case rate,,23749,,,,,,,case rate,,20942,,,,,,,case rate,,21590,,,,,,,case rate,,21590,,,,,,,case rate,,22238,,,,,,,case rate,,48577,,,,,,,case rate,,20942,48577,
Procedures for obesity,403,APR-DRG,,inpatient,,,67595,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,67595,,,,,,,case rate,,91930,,,,,,,case rate,,67595,,,,,,,case rate,,67595,,,,,,,case rate,,67595,,,,,,,case rate,,77735,,,,,,,case rate,,74355,,,,,,,case rate,,65567,,,,,,,case rate,,67595,,,,,,,case rate,,67595,,,,,,,case rate,,69623,,,,,,,case rate,,152089,,,,,,,case rate,,65567,152089,
Pulmonary embolism,134,APR-DRG,,inpatient,,,7243,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7243,,,,,,,case rate,,9850,,,,,,,case rate,,7243,,,,,,,case rate,,7243,,,,,,,case rate,,7243,,,,,,,case rate,,8329,,,,,,,case rate,,7967,,,,,,,case rate,,7026,,,,,,,case rate,,7243,,,,,,,case rate,,7243,,,,,,,case rate,,7460,,,,,,,case rate,,16297,,,,,,,case rate,,7026,16297,
Pulmonary embolism,134,APR-DRG,,inpatient,,,9611,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9611,,,,,,,case rate,,13071,,,,,,,case rate,,9611,,,,,,,case rate,,9611,,,,,,,case rate,,9611,,,,,,,case rate,,11053,,,,,,,case rate,,10572,,,,,,,case rate,,9323,,,,,,,case rate,,9611,,,,,,,case rate,,9611,,,,,,,case rate,,9899,,,,,,,case rate,,21625,,,,,,,case rate,,9323,21625,
Pulmonary embolism,134,APR-DRG,,inpatient,,,15514,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15514,,,,,,,case rate,,21099,,,,,,,case rate,,15514,,,,,,,case rate,,15514,,,,,,,case rate,,15514,,,,,,,case rate,,17841,,,,,,,case rate,,17065,,,,,,,case rate,,15048,,,,,,,case rate,,15514,,,,,,,case rate,,15514,,,,,,,case rate,,15979,,,,,,,case rate,,34906,,,,,,,case rate,,15048,34906,
Pulmonary embolism,134,APR-DRG,,inpatient,,,26275,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26275,,,,,,,case rate,,35734,,,,,,,case rate,,26275,,,,,,,case rate,,26275,,,,,,,case rate,,26275,,,,,,,case rate,,30216,,,,,,,case rate,,28902,,,,,,,case rate,,25486,,,,,,,case rate,,26275,,,,,,,case rate,,26275,,,,,,,case rate,,27063,,,,,,,case rate,,59118,,,,,,,case rate,,25486,59118,
Q0162 - ONDANSETRON OD TAB 4MG,Q0162,CPT,,both,,,73650,73650,,74041,,,,,,,case rate,,89089,,,,,,,case rate,,71925,,,,,,,case rate,,71925,,,,,,,case rate,,103101,,,,,,,case rate,,103101,,,,,,,case rate,,76954,,,,,,,case rate,,50049,,,,,,,case rate,,  ,,,,,,,case rate,,64090,,,,,,,case rate,,64090,,,,,,,case rate,,64090,,,,,,,case rate,,65372,,,,,,,case rate,,64090,,,,,,,case rate,,64090,,,,,,,case rate,,64090,,,,,,,case rate,,59604,,,,,,,case rate,,64090,,,,,,,case rate,,64090,,,,,,,case rate,,64090,,,,,,,case rate,,64090,,,,,,,case rate,,65372,,,,,,,case rate,,68576,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,50049,103101,
Q0163 - DIPHENHYDRAMINE CAP 25MG,Q0163,CPT,,both,,,130292,130292,,160454,,,,,,,case rate,,193063,,,,,,,case rate,,155868,,,,,,,case rate,,155868,,,,,,,case rate,,223428,,,,,,,case rate,,223428,,,,,,,case rate,,166767,,,,,,,case rate,,108461,,,,,,,case rate,,  ,,,,,,,case rate,,137301,,,,,,,case rate,,137301,,,,,,,case rate,,137301,,,,,,,case rate,,140047,,,,,,,case rate,,137301,,,,,,,case rate,,137301,,,,,,,case rate,,137301,,,,,,,case rate,,127690,,,,,,,case rate,,137301,,,,,,,case rate,,137301,,,,,,,case rate,,137301,,,,,,,case rate,,137301,,,,,,,case rate,,140047,,,,,,,case rate,,146912,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,108461,223428,
Q0164 - PROCHLORPERAZINE TAB  5MG,Q0164,CPT,,both,,,66309,66309,,71179,,,,,,,case rate,,85645,,,,,,,case rate,,69145,,,,,,,case rate,,69145,,,,,,,case rate,,99115,,,,,,,case rate,,99115,,,,,,,case rate,,73980,,,,,,,case rate,,48114,,,,,,,case rate,,  ,,,,,,,case rate,,61665,,,,,,,case rate,,61665,,,,,,,case rate,,61665,,,,,,,case rate,,62899,,,,,,,case rate,,61665,,,,,,,case rate,,61665,,,,,,,case rate,,61665,,,,,,,case rate,,57349,,,,,,,case rate,,61665,,,,,,,case rate,,61665,,,,,,,case rate,,61665,,,,,,,case rate,,61665,,,,,,,case rate,,62899,,,,,,,case rate,,65982,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,48114,99115,
Q4104 - INTEGRA MESHED WND MATRIX 8X10,Q4104,CPT,,both,,,388,388,,57,,,,,,,fee schedule,,65,,,,,,,fee schedule,,270,,,,,,,fee schedule,,270,,,,,,,fee schedule,,194,,,,,,,fee schedule,,194,,,,,,,fee schedule,,351,,,,,,,fee schedule,,657,,,,,,,fee schedule,,592,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,159,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,171,,,,,,,fee schedule,,174,,,,,,,fee schedule,,183,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,309,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,281,,,,,,,fee schedule,,289,,,,,,,fee schedule,,631,,,,,,,fee schedule,,12,798,
Q4116 - ALLODERM TISSUE MATRIX 8X16,Q4116,CPT,,both,,,87,87,,15,,,,,,,fee schedule,,52,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,21,,,,,,,fee schedule,,21,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,41,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,15,74,
Q5101 - FILGRASTIM-SNDZ 300MCG/0.5ML,Q5101,CPT,,both,,,2,2,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,,,,,,,fee schedule,,1,1,
Q5103 - INFLIXIMAB-DYYB INJ 100MG,Q5103,CPT,,both,,,6,6,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1,1,
Q5115 - RITUXIMAB-ABBS INJ 500MG/50ML,Q5115,CPT,,both,,,11303,11303,,10966,,,,,,,case rate,,13194,,,,,,,case rate,,10652,,,,,,,case rate,,10652,,,,,,,case rate,,15270,,,,,,,case rate,,15270,,,,,,,case rate,,11397,,,,,,,case rate,,7412,,,,,,,case rate,,  ,,,,,,,case rate,,10651,,,,,,,case rate,,10651,,,,,,,case rate,,10651,,,,,,,case rate,,10864,,,,,,,case rate,,10651,,,,,,,case rate,,10651,,,,,,,case rate,,10651,,,,,,,case rate,,9906,,,,,,,case rate,,10651,,,,,,,case rate,,10651,,,,,,,case rate,,10651,,,,,,,case rate,,10651,,,,,,,case rate,,10864,,,,,,,case rate,,11397,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7412,15270,
Q5121 - INFLIXIMAB-AXXQ INJ 100MG,Q5121,CPT,,both,,,13987,13987,,10151,,,,,,,case rate,,12213,,,,,,,case rate,,9860,,,,,,,case rate,,9860,,,,,,,case rate,,14134,,,,,,,case rate,,14134,,,,,,,case rate,,10550,,,,,,,case rate,,6861,,,,,,,case rate,,  ,,,,,,,case rate,,9961,,,,,,,case rate,,9961,,,,,,,case rate,,9961,,,,,,,case rate,,10160,,,,,,,case rate,,9961,,,,,,,case rate,,9961,,,,,,,case rate,,9961,,,,,,,case rate,,9263,,,,,,,case rate,,9961,,,,,,,case rate,,9961,,,,,,,case rate,,9961,,,,,,,case rate,,9961,,,,,,,case rate,,10160,,,,,,,case rate,,10658,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6861,14134,
Radiotherapy,692,APR-DRG,,inpatient,,,6125,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6125,,,,,,,case rate,,8330,,,,,,,case rate,,6125,,,,,,,case rate,,6125,,,,,,,case rate,,6125,,,,,,,case rate,,7043,,,,,,,case rate,,6737,,,,,,,case rate,,5941,,,,,,,case rate,,6125,,,,,,,case rate,,6125,,,,,,,case rate,,6308,,,,,,,case rate,,13780,,,,,,,case rate,,5941,13780,
Radiotherapy,692,APR-DRG,,inpatient,,,13371,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13371,,,,,,,case rate,,18184,,,,,,,case rate,,13371,,,,,,,case rate,,13371,,,,,,,case rate,,13371,,,,,,,case rate,,15376,,,,,,,case rate,,14708,,,,,,,case rate,,12970,,,,,,,case rate,,13371,,,,,,,case rate,,13371,,,,,,,case rate,,13772,,,,,,,case rate,,30084,,,,,,,case rate,,12970,30084,
Radiotherapy,692,APR-DRG,,inpatient,,,28612,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28612,,,,,,,case rate,,38912,,,,,,,case rate,,28612,,,,,,,case rate,,28612,,,,,,,case rate,,28612,,,,,,,case rate,,32904,,,,,,,case rate,,31473,,,,,,,case rate,,27754,,,,,,,case rate,,28612,,,,,,,case rate,,28612,,,,,,,case rate,,29470,,,,,,,case rate,,64377,,,,,,,case rate,,27754,64377,
Radiotherapy,692,APR-DRG,,inpatient,,,32105,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32105,,,,,,,case rate,,43663,,,,,,,case rate,,32105,,,,,,,case rate,,32105,,,,,,,case rate,,32105,,,,,,,case rate,,36921,,,,,,,case rate,,35316,,,,,,,case rate,,31142,,,,,,,case rate,,32105,,,,,,,case rate,,32105,,,,,,,case rate,,33069,,,,,,,case rate,,72237,,,,,,,case rate,,31142,72237,
Rehabilitation,860,APR-DRG,,inpatient,,,15749,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15749,,,,,,,case rate,,21419,,,,,,,case rate,,15749,,,,,,,case rate,,15749,,,,,,,case rate,,15749,,,,,,,case rate,,18111,,,,,,,case rate,,17324,,,,,,,case rate,,15277,,,,,,,case rate,,15749,,,,,,,case rate,,15749,,,,,,,case rate,,16221,,,,,,,case rate,,35435,,,,,,,case rate,,15277,35435,
Rehabilitation,860,APR-DRG,,inpatient,,,18438,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18438,,,,,,,case rate,,25075,,,,,,,case rate,,18438,,,,,,,case rate,,18438,,,,,,,case rate,,18438,,,,,,,case rate,,21203,,,,,,,case rate,,20281,,,,,,,case rate,,17885,,,,,,,case rate,,18438,,,,,,,case rate,,18438,,,,,,,case rate,,18991,,,,,,,case rate,,41485,,,,,,,case rate,,17885,41485,
Rehabilitation,860,APR-DRG,,inpatient,,,24381,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24381,,,,,,,case rate,,33159,,,,,,,case rate,,24381,,,,,,,case rate,,24381,,,,,,,case rate,,24381,,,,,,,case rate,,28039,,,,,,,case rate,,26820,,,,,,,case rate,,23650,,,,,,,case rate,,24381,,,,,,,case rate,,24381,,,,,,,case rate,,25113,,,,,,,case rate,,54858,,,,,,,case rate,,23650,54858,
Rehabilitation,860,APR-DRG,,inpatient,,,24381,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24381,,,,,,,case rate,,33159,,,,,,,case rate,,24381,,,,,,,case rate,,24381,,,,,,,case rate,,24381,,,,,,,case rate,,28039,,,,,,,case rate,,26820,,,,,,,case rate,,23650,,,,,,,case rate,,24381,,,,,,,case rate,,24381,,,,,,,case rate,,25113,,,,,,,case rate,,54858,,,,,,,case rate,,23650,54858,
Renal dialysis access device procedure only,444,APR-DRG,,inpatient,,,10097,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10097,,,,,,,case rate,,13732,,,,,,,case rate,,10097,,,,,,,case rate,,10097,,,,,,,case rate,,10097,,,,,,,case rate,,11612,,,,,,,case rate,,11107,,,,,,,case rate,,9794,,,,,,,case rate,,10097,,,,,,,case rate,,10097,,,,,,,case rate,,10400,,,,,,,case rate,,22718,,,,,,,case rate,,9794,22718,
Renal dialysis access device procedure only,444,APR-DRG,,inpatient,,,17955,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17955,,,,,,,case rate,,24418,,,,,,,case rate,,17955,,,,,,,case rate,,17955,,,,,,,case rate,,17955,,,,,,,case rate,,20648,,,,,,,case rate,,19750,,,,,,,case rate,,17416,,,,,,,case rate,,17955,,,,,,,case rate,,17955,,,,,,,case rate,,18493,,,,,,,case rate,,40398,,,,,,,case rate,,17416,40398,
Renal dialysis access device procedure only,444,APR-DRG,,inpatient,,,33225,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33225,,,,,,,case rate,,45186,,,,,,,case rate,,33225,,,,,,,case rate,,33225,,,,,,,case rate,,33225,,,,,,,case rate,,38208,,,,,,,case rate,,36547,,,,,,,case rate,,32228,,,,,,,case rate,,33225,,,,,,,case rate,,33225,,,,,,,case rate,,34221,,,,,,,case rate,,74755,,,,,,,case rate,,32228,74755,
Renal dialysis access device procedure only,444,APR-DRG,,inpatient,,,63579,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,63579,,,,,,,case rate,,86467,,,,,,,case rate,,63579,,,,,,,case rate,,63579,,,,,,,case rate,,63579,,,,,,,case rate,,73115,,,,,,,case rate,,69937,,,,,,,case rate,,61671,,,,,,,case rate,,63579,,,,,,,case rate,,63579,,,,,,,case rate,,65486,,,,,,,case rate,,143052,,,,,,,case rate,,61671,143052,
Respiratory Failure,133,APR-DRG,,inpatient,,,9471,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9471,,,,,,,case rate,,12881,,,,,,,case rate,,9471,,,,,,,case rate,,9471,,,,,,,case rate,,9471,,,,,,,case rate,,10892,,,,,,,case rate,,10418,,,,,,,case rate,,9187,,,,,,,case rate,,9471,,,,,,,case rate,,9471,,,,,,,case rate,,9755,,,,,,,case rate,,21310,,,,,,,case rate,,9187,21310,
Respiratory Failure,133,APR-DRG,,inpatient,,,9491,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9491,,,,,,,case rate,,12907,,,,,,,case rate,,9491,,,,,,,case rate,,9491,,,,,,,case rate,,9491,,,,,,,case rate,,10914,,,,,,,case rate,,10440,,,,,,,case rate,,9206,,,,,,,case rate,,9491,,,,,,,case rate,,9491,,,,,,,case rate,,9775,,,,,,,case rate,,21354,,,,,,,case rate,,9206,21354,
Respiratory Failure,133,APR-DRG,,inpatient,,,14048,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14048,,,,,,,case rate,,19105,,,,,,,case rate,,14048,,,,,,,case rate,,14048,,,,,,,case rate,,14048,,,,,,,case rate,,16155,,,,,,,case rate,,15453,,,,,,,case rate,,13627,,,,,,,case rate,,14048,,,,,,,case rate,,14048,,,,,,,case rate,,14469,,,,,,,case rate,,31608,,,,,,,case rate,,13627,31608,
Respiratory Failure,133,APR-DRG,,inpatient,,,20732,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20732,,,,,,,case rate,,28195,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,23842,,,,,,,case rate,,22805,,,,,,,case rate,,20110,,,,,,,case rate,,20732,,,,,,,case rate,,20732,,,,,,,case rate,,21354,,,,,,,case rate,,46646,,,,,,,case rate,,20110,46646,
Respiratory malignancy,136,APR-DRG,,inpatient,,,5848,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5848,,,,,,,case rate,,7954,,,,,,,case rate,,5848,,,,,,,case rate,,5848,,,,,,,case rate,,5848,,,,,,,case rate,,6725,,,,,,,case rate,,6433,,,,,,,case rate,,5673,,,,,,,case rate,,5848,,,,,,,case rate,,5848,,,,,,,case rate,,6024,,,,,,,case rate,,13158,,,,,,,case rate,,5673,13158,
Respiratory malignancy,136,APR-DRG,,inpatient,,,9290,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9290,,,,,,,case rate,,12635,,,,,,,case rate,,9290,,,,,,,case rate,,9290,,,,,,,case rate,,9290,,,,,,,case rate,,10684,,,,,,,case rate,,10219,,,,,,,case rate,,9012,,,,,,,case rate,,9290,,,,,,,case rate,,9290,,,,,,,case rate,,9569,,,,,,,case rate,,20903,,,,,,,case rate,,9012,20903,
Respiratory malignancy,136,APR-DRG,,inpatient,,,16031,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16031,,,,,,,case rate,,21802,,,,,,,case rate,,16031,,,,,,,case rate,,16031,,,,,,,case rate,,16031,,,,,,,case rate,,18435,,,,,,,case rate,,17634,,,,,,,case rate,,15550,,,,,,,case rate,,16031,,,,,,,case rate,,16031,,,,,,,case rate,,16512,,,,,,,case rate,,36069,,,,,,,case rate,,15550,36069,
Respiratory malignancy,136,APR-DRG,,inpatient,,,23574,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23574,,,,,,,case rate,,32060,,,,,,,case rate,,23574,,,,,,,case rate,,23574,,,,,,,case rate,,23574,,,,,,,case rate,,27110,,,,,,,case rate,,25931,,,,,,,case rate,,22866,,,,,,,case rate,,23574,,,,,,,case rate,,23574,,,,,,,case rate,,24281,,,,,,,case rate,,53041,,,,,,,case rate,,22866,53041,
"Respiratory signs, symptoms & minor diagnoses",144,APR-DRG,,inpatient,,,4653,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4653,,,,,,,case rate,,6328,,,,,,,case rate,,4653,,,,,,,case rate,,4653,,,,,,,case rate,,4653,,,,,,,case rate,,5351,,,,,,,case rate,,5118,,,,,,,case rate,,4513,,,,,,,case rate,,4653,,,,,,,case rate,,4653,,,,,,,case rate,,4792,,,,,,,case rate,,10469,,,,,,,case rate,,4513,10469,
"Respiratory signs, symptoms & minor diagnoses",144,APR-DRG,,inpatient,,,5847,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5847,,,,,,,case rate,,7952,,,,,,,case rate,,5847,,,,,,,case rate,,5847,,,,,,,case rate,,5847,,,,,,,case rate,,6724,,,,,,,case rate,,6432,,,,,,,case rate,,5672,,,,,,,case rate,,5847,,,,,,,case rate,,5847,,,,,,,case rate,,6023,,,,,,,case rate,,13156,,,,,,,case rate,,5672,13156,
"Respiratory signs, symptoms & minor diagnoses",144,APR-DRG,,inpatient,,,8882,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8882,,,,,,,case rate,,12080,,,,,,,case rate,,8882,,,,,,,case rate,,8882,,,,,,,case rate,,8882,,,,,,,case rate,,10215,,,,,,,case rate,,9770,,,,,,,case rate,,8616,,,,,,,case rate,,8882,,,,,,,case rate,,8882,,,,,,,case rate,,9149,,,,,,,case rate,,19985,,,,,,,case rate,,8616,19985,
"Respiratory signs, symptoms & minor diagnoses",144,APR-DRG,,inpatient,,,17461,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17461,,,,,,,case rate,,23747,,,,,,,case rate,,17461,,,,,,,case rate,,17461,,,,,,,case rate,,17461,,,,,,,case rate,,20080,,,,,,,case rate,,19207,,,,,,,case rate,,16937,,,,,,,case rate,,17461,,,,,,,case rate,,17461,,,,,,,case rate,,17985,,,,,,,case rate,,39288,,,,,,,case rate,,16937,39288,
Respiratory system diagnosis w ventilator support 96+ hours,130,APR-DRG,,inpatient,,,35256,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35256,,,,,,,case rate,,47948,,,,,,,case rate,,35256,,,,,,,case rate,,35256,,,,,,,case rate,,35256,,,,,,,case rate,,40544,,,,,,,case rate,,38781,,,,,,,case rate,,34198,,,,,,,case rate,,35256,,,,,,,case rate,,35256,,,,,,,case rate,,36313,,,,,,,case rate,,79325,,,,,,,case rate,,34198,79325,
Respiratory system diagnosis w ventilator support 96+ hours,130,APR-DRG,,inpatient,,,35256,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35256,,,,,,,case rate,,47948,,,,,,,case rate,,35256,,,,,,,case rate,,35256,,,,,,,case rate,,35256,,,,,,,case rate,,40544,,,,,,,case rate,,38781,,,,,,,case rate,,34198,,,,,,,case rate,,35256,,,,,,,case rate,,35256,,,,,,,case rate,,36313,,,,,,,case rate,,79325,,,,,,,case rate,,34198,79325,
Respiratory system diagnosis w ventilator support 96+ hours,130,APR-DRG,,inpatient,,,43984,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,43984,,,,,,,case rate,,59818,,,,,,,case rate,,43984,,,,,,,case rate,,43984,,,,,,,case rate,,43984,,,,,,,case rate,,50581,,,,,,,case rate,,48382,,,,,,,case rate,,42664,,,,,,,case rate,,43984,,,,,,,case rate,,43984,,,,,,,case rate,,45303,,,,,,,case rate,,98963,,,,,,,case rate,,42664,98963,
Respiratory system diagnosis w ventilator support 96+ hours,130,APR-DRG,,inpatient,,,62416,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62416,,,,,,,case rate,,84886,,,,,,,case rate,,62416,,,,,,,case rate,,62416,,,,,,,case rate,,62416,,,,,,,case rate,,71779,,,,,,,case rate,,68658,,,,,,,case rate,,60544,,,,,,,case rate,,62416,,,,,,,case rate,,62416,,,,,,,case rate,,64289,,,,,,,case rate,,140437,,,,,,,case rate,,60544,140437,
S0017 - AMINOCAPROIC INJ 250MG(5000MG),S0017,CPT,,both,,,53,53,,3,,,,,,,fee schedule,,11,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,41,,,,,,,fee schedule,,8,,,,,,,fee schedule,,8,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,36,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,33,,,,,,,fee schedule,,34,,,,,,,fee schedule,,74,,,,,,,fee schedule,,3,74,
S0028 - FAMOTIDINE INJ 40MG/4ML,S0028,CPT,,both,,,21,21,,  ,,,,,,,fee schedule,,1,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,70,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,62,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,56,,,,,,,fee schedule,,58,,,,,,,fee schedule,,126,,,,,,,fee schedule,,1,126,
S0106 - BUPROPION XL TAB 150MG,S0106,CPT,,both,,,479,479,,46,,,,,,,fee schedule,,157,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,39,,,,,,,fee schedule,,39,,,,,,,fee schedule,,81,,,,,,,fee schedule,,122,,,,,,,fee schedule,,122,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,71,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,64,,,,,,,fee schedule,,66,,,,,,,fee schedule,,145,,,,,,,fee schedule,,39,157,
S1090 - **IMPLANT PROPEL,S1090,CPT,,both,,,1880,1880,,  ,,,,,,,fee schedule,,1431,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,  ,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,1431,1431,
Schizophrenia,750,APR-DRG,,inpatient,,,15279,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15279,,,,,,,case rate,,20780,,,,,,,case rate,,15279,,,,,,,case rate,,15279,,,,,,,case rate,,15279,,,,,,,case rate,,17571,,,,,,,case rate,,16807,,,,,,,case rate,,14821,,,,,,,case rate,,15279,,,,,,,case rate,,15279,,,,,,,case rate,,15738,,,,,,,case rate,,34378,,,,,,,case rate,,14821,34378,
Schizophrenia,750,APR-DRG,,inpatient,,,17809,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17809,,,,,,,case rate,,24220,,,,,,,case rate,,17809,,,,,,,case rate,,17809,,,,,,,case rate,,17809,,,,,,,case rate,,20480,,,,,,,case rate,,19590,,,,,,,case rate,,17274,,,,,,,case rate,,17809,,,,,,,case rate,,17809,,,,,,,case rate,,18343,,,,,,,case rate,,40070,,,,,,,case rate,,17274,40070,
Schizophrenia,750,APR-DRG,,inpatient,,,22308,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22308,,,,,,,case rate,,30339,,,,,,,case rate,,22308,,,,,,,case rate,,22308,,,,,,,case rate,,22308,,,,,,,case rate,,25655,,,,,,,case rate,,24539,,,,,,,case rate,,21639,,,,,,,case rate,,22308,,,,,,,case rate,,22308,,,,,,,case rate,,22978,,,,,,,case rate,,50194,,,,,,,case rate,,21639,50194,
Schizophrenia,750,APR-DRG,,inpatient,,,29857,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,29857,,,,,,,case rate,,40605,,,,,,,case rate,,29857,,,,,,,case rate,,29857,,,,,,,case rate,,29857,,,,,,,case rate,,34335,,,,,,,case rate,,32842,,,,,,,case rate,,28961,,,,,,,case rate,,29857,,,,,,,case rate,,29857,,,,,,,case rate,,30752,,,,,,,case rate,,67177,,,,,,,case rate,,28961,67177,
Seizure,53,APR-DRG,,inpatient,,,5016,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5016,,,,,,,case rate,,6821,,,,,,,case rate,,5016,,,,,,,case rate,,5016,,,,,,,case rate,,5016,,,,,,,case rate,,5768,,,,,,,case rate,,5517,,,,,,,case rate,,4865,,,,,,,case rate,,5016,,,,,,,case rate,,5016,,,,,,,case rate,,5166,,,,,,,case rate,,11285,,,,,,,case rate,,4865,11285,
Seizure,53,APR-DRG,,inpatient,,,5983,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5983,,,,,,,case rate,,8137,,,,,,,case rate,,5983,,,,,,,case rate,,5983,,,,,,,case rate,,5983,,,,,,,case rate,,6880,,,,,,,case rate,,6581,,,,,,,case rate,,5803,,,,,,,case rate,,5983,,,,,,,case rate,,5983,,,,,,,case rate,,6162,,,,,,,case rate,,13461,,,,,,,case rate,,5803,13461,
Seizure,53,APR-DRG,,inpatient,,,8427,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8427,,,,,,,case rate,,11461,,,,,,,case rate,,8427,,,,,,,case rate,,8427,,,,,,,case rate,,8427,,,,,,,case rate,,9691,,,,,,,case rate,,9270,,,,,,,case rate,,8174,,,,,,,case rate,,8427,,,,,,,case rate,,8427,,,,,,,case rate,,8680,,,,,,,case rate,,18961,,,,,,,case rate,,8174,18961,
Seizure,53,APR-DRG,,inpatient,,,27513,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27513,,,,,,,case rate,,37418,,,,,,,case rate,,27513,,,,,,,case rate,,27513,,,,,,,case rate,,27513,,,,,,,case rate,,31640,,,,,,,case rate,,30264,,,,,,,case rate,,26688,,,,,,,case rate,,27513,,,,,,,case rate,,27513,,,,,,,case rate,,28339,,,,,,,case rate,,61905,,,,,,,case rate,,26688,61905,
Septicemia & disseminated infections,720,APR-DRG,,inpatient,,,6212,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6212,,,,,,,case rate,,8448,,,,,,,case rate,,6212,,,,,,,case rate,,6212,,,,,,,case rate,,6212,,,,,,,case rate,,7144,,,,,,,case rate,,6833,,,,,,,case rate,,6026,,,,,,,case rate,,6212,,,,,,,case rate,,6212,,,,,,,case rate,,6398,,,,,,,case rate,,13977,,,,,,,case rate,,6026,13977,
Septicemia & disseminated infections,720,APR-DRG,,inpatient,,,8569,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8569,,,,,,,case rate,,11654,,,,,,,case rate,,8569,,,,,,,case rate,,8569,,,,,,,case rate,,8569,,,,,,,case rate,,9854,,,,,,,case rate,,9426,,,,,,,case rate,,8312,,,,,,,case rate,,8569,,,,,,,case rate,,8569,,,,,,,case rate,,8826,,,,,,,case rate,,19280,,,,,,,case rate,,8312,19280,
Septicemia & disseminated infections,720,APR-DRG,,inpatient,,,15294,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15294,,,,,,,case rate,,20799,,,,,,,case rate,,15294,,,,,,,case rate,,15294,,,,,,,case rate,,15294,,,,,,,case rate,,17588,,,,,,,case rate,,16823,,,,,,,case rate,,14835,,,,,,,case rate,,15294,,,,,,,case rate,,15294,,,,,,,case rate,,15752,,,,,,,case rate,,34411,,,,,,,case rate,,14835,34411,
Septicemia & disseminated infections,720,APR-DRG,,inpatient,,,32893,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32893,,,,,,,case rate,,44734,,,,,,,case rate,,32893,,,,,,,case rate,,32893,,,,,,,case rate,,32893,,,,,,,case rate,,37827,,,,,,,case rate,,36182,,,,,,,case rate,,31906,,,,,,,case rate,,32893,,,,,,,case rate,,32893,,,,,,,case rate,,33879,,,,,,,case rate,,74009,,,,,,,case rate,,31906,74009,
Shoulder & elbow joint replacement #,322,APR-DRG,,inpatient,,,16242,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16242,,,,,,,case rate,,22090,,,,,,,case rate,,16242,,,,,,,case rate,,16242,,,,,,,case rate,,16242,,,,,,,case rate,,18679,,,,,,,case rate,,17867,,,,,,,case rate,,15755,,,,,,,case rate,,16242,,,,,,,case rate,,16242,,,,,,,case rate,,16730,,,,,,,case rate,,36545,,,,,,,case rate,,15755,36545,
Shoulder & elbow joint replacement #,322,APR-DRG,,inpatient,,,17941,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17941,,,,,,,case rate,,24400,,,,,,,case rate,,17941,,,,,,,case rate,,17941,,,,,,,case rate,,17941,,,,,,,case rate,,20632,,,,,,,case rate,,19735,,,,,,,case rate,,17403,,,,,,,case rate,,17941,,,,,,,case rate,,17941,,,,,,,case rate,,18480,,,,,,,case rate,,40368,,,,,,,case rate,,17403,40368,
Shoulder & elbow joint replacement #,322,APR-DRG,,inpatient,,,30049,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,30049,,,,,,,case rate,,40866,,,,,,,case rate,,30049,,,,,,,case rate,,30049,,,,,,,case rate,,30049,,,,,,,case rate,,34556,,,,,,,case rate,,33054,,,,,,,case rate,,29147,,,,,,,case rate,,30049,,,,,,,case rate,,30049,,,,,,,case rate,,30950,,,,,,,case rate,,67610,,,,,,,case rate,,29147,67610,
Shoulder & elbow joint replacement #,322,APR-DRG,,inpatient,,,35134,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,35134,,,,,,,case rate,,47783,,,,,,,case rate,,35134,,,,,,,case rate,,35134,,,,,,,case rate,,35134,,,,,,,case rate,,40404,,,,,,,case rate,,38648,,,,,,,case rate,,34080,,,,,,,case rate,,35134,,,,,,,case rate,,35134,,,,,,,case rate,,36188,,,,,,,case rate,,79052,,,,,,,case rate,,34080,79052,
"Shoulder, upper arm & forearm procedures except joint replacement",315,APR-DRG,,inpatient,,,8312,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8312,,,,,,,case rate,,11304,,,,,,,case rate,,8312,,,,,,,case rate,,8312,,,,,,,case rate,,8312,,,,,,,case rate,,9559,,,,,,,case rate,,9143,,,,,,,case rate,,8062,,,,,,,case rate,,8312,,,,,,,case rate,,8312,,,,,,,case rate,,8561,,,,,,,case rate,,18702,,,,,,,case rate,,8062,18702,
"Shoulder, upper arm & forearm procedures except joint replacement",315,APR-DRG,,inpatient,,,14214,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14214,,,,,,,case rate,,19332,,,,,,,case rate,,14214,,,,,,,case rate,,14214,,,,,,,case rate,,14214,,,,,,,case rate,,16347,,,,,,,case rate,,15636,,,,,,,case rate,,13788,,,,,,,case rate,,14214,,,,,,,case rate,,14214,,,,,,,case rate,,14641,,,,,,,case rate,,31983,,,,,,,case rate,,13788,31983,
"Shoulder, upper arm & forearm procedures except joint replacement",315,APR-DRG,,inpatient,,,27424,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27424,,,,,,,case rate,,37296,,,,,,,case rate,,27424,,,,,,,case rate,,27424,,,,,,,case rate,,27424,,,,,,,case rate,,31537,,,,,,,case rate,,30166,,,,,,,case rate,,26601,,,,,,,case rate,,27424,,,,,,,case rate,,27424,,,,,,,case rate,,28246,,,,,,,case rate,,61703,,,,,,,case rate,,26601,61703,
"Shoulder, upper arm & forearm procedures except joint replacement",315,APR-DRG,,inpatient,,,52761,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,52761,,,,,,,case rate,,71755,,,,,,,case rate,,52761,,,,,,,case rate,,52761,,,,,,,case rate,,52761,,,,,,,case rate,,60675,,,,,,,case rate,,58037,,,,,,,case rate,,51178,,,,,,,case rate,,52761,,,,,,,case rate,,52761,,,,,,,case rate,,54344,,,,,,,case rate,,118712,,,,,,,case rate,,51178,118712,
Sickle cell anemia crisis,662,APR-DRG,,inpatient,,,6874,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6874,,,,,,,case rate,,9349,,,,,,,case rate,,6874,,,,,,,case rate,,6874,,,,,,,case rate,,6874,,,,,,,case rate,,7905,,,,,,,case rate,,7561,,,,,,,case rate,,6668,,,,,,,case rate,,6874,,,,,,,case rate,,6874,,,,,,,case rate,,7080,,,,,,,case rate,,15466,,,,,,,case rate,,6668,15466,
Sickle cell anemia crisis,662,APR-DRG,,inpatient,,,9920,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9920,,,,,,,case rate,,13492,,,,,,,case rate,,9920,,,,,,,case rate,,9920,,,,,,,case rate,,9920,,,,,,,case rate,,11408,,,,,,,case rate,,10912,,,,,,,case rate,,9623,,,,,,,case rate,,9920,,,,,,,case rate,,9920,,,,,,,case rate,,10218,,,,,,,case rate,,22321,,,,,,,case rate,,9623,22321,
Sickle cell anemia crisis,662,APR-DRG,,inpatient,,,15835,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15835,,,,,,,case rate,,21536,,,,,,,case rate,,15835,,,,,,,case rate,,15835,,,,,,,case rate,,15835,,,,,,,case rate,,18211,,,,,,,case rate,,17419,,,,,,,case rate,,15360,,,,,,,case rate,,15835,,,,,,,case rate,,15835,,,,,,,case rate,,16310,,,,,,,case rate,,35629,,,,,,,case rate,,15360,35629,
Sickle cell anemia crisis,662,APR-DRG,,inpatient,,,34044,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34044,,,,,,,case rate,,46300,,,,,,,case rate,,34044,,,,,,,case rate,,34044,,,,,,,case rate,,34044,,,,,,,case rate,,39150,,,,,,,case rate,,37448,,,,,,,case rate,,33023,,,,,,,case rate,,34044,,,,,,,case rate,,34044,,,,,,,case rate,,35065,,,,,,,case rate,,76599,,,,,,,case rate,,33023,76599,
"Signs, symptoms & other factors influencing health status",861,APR-DRG,,inpatient,,,4627,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4627,,,,,,,case rate,,6293,,,,,,,case rate,,4627,,,,,,,case rate,,4627,,,,,,,case rate,,4627,,,,,,,case rate,,5321,,,,,,,case rate,,5090,,,,,,,case rate,,4488,,,,,,,case rate,,4627,,,,,,,case rate,,4627,,,,,,,case rate,,4766,,,,,,,case rate,,10411,,,,,,,case rate,,4488,10411,
"Signs, symptoms & other factors influencing health status",861,APR-DRG,,inpatient,,,6478,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6478,,,,,,,case rate,,8810,,,,,,,case rate,,6478,,,,,,,case rate,,6478,,,,,,,case rate,,6478,,,,,,,case rate,,7450,,,,,,,case rate,,7126,,,,,,,case rate,,6284,,,,,,,case rate,,6478,,,,,,,case rate,,6478,,,,,,,case rate,,6673,,,,,,,case rate,,14576,,,,,,,case rate,,6284,14576,
"Signs, symptoms & other factors influencing health status",861,APR-DRG,,inpatient,,,10872,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10872,,,,,,,case rate,,14786,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,12503,,,,,,,case rate,,11959,,,,,,,case rate,,10546,,,,,,,case rate,,10872,,,,,,,case rate,,10872,,,,,,,case rate,,11198,,,,,,,case rate,,24462,,,,,,,case rate,,10546,24462,
"Signs, symptoms & other factors influencing health status",861,APR-DRG,,inpatient,,,21483,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21483,,,,,,,case rate,,29217,,,,,,,case rate,,21483,,,,,,,case rate,,21483,,,,,,,case rate,,21483,,,,,,,case rate,,24706,,,,,,,case rate,,23631,,,,,,,case rate,,20839,,,,,,,case rate,,21483,,,,,,,case rate,,21483,,,,,,,case rate,,22128,,,,,,,case rate,,48337,,,,,,,case rate,,20839,48337,
Sinus & mastoid procedures,93,APR-DRG,,inpatient,,,9219,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9219,,,,,,,case rate,,12538,,,,,,,case rate,,9219,,,,,,,case rate,,9219,,,,,,,case rate,,9219,,,,,,,case rate,,10602,,,,,,,case rate,,10141,,,,,,,case rate,,8943,,,,,,,case rate,,9219,,,,,,,case rate,,9219,,,,,,,case rate,,9496,,,,,,,case rate,,20744,,,,,,,case rate,,8943,20744,
Sinus & mastoid procedures,93,APR-DRG,,inpatient,,,12681,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12681,,,,,,,case rate,,17246,,,,,,,case rate,,12681,,,,,,,case rate,,12681,,,,,,,case rate,,12681,,,,,,,case rate,,14583,,,,,,,case rate,,13949,,,,,,,case rate,,12301,,,,,,,case rate,,12681,,,,,,,case rate,,12681,,,,,,,case rate,,13061,,,,,,,case rate,,28532,,,,,,,case rate,,12301,28532,
Sinus & mastoid procedures,93,APR-DRG,,inpatient,,,24339,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24339,,,,,,,case rate,,33101,,,,,,,case rate,,24339,,,,,,,case rate,,24339,,,,,,,case rate,,24339,,,,,,,case rate,,27990,,,,,,,case rate,,26773,,,,,,,case rate,,23609,,,,,,,case rate,,24339,,,,,,,case rate,,24339,,,,,,,case rate,,25070,,,,,,,case rate,,54763,,,,,,,case rate,,23609,54763,
Sinus & mastoid procedures,93,APR-DRG,,inpatient,,,28583,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,28583,,,,,,,case rate,,38873,,,,,,,case rate,,28583,,,,,,,case rate,,28583,,,,,,,case rate,,28583,,,,,,,case rate,,32871,,,,,,,case rate,,31441,,,,,,,case rate,,27726,,,,,,,case rate,,28583,,,,,,,case rate,,28583,,,,,,,case rate,,29441,,,,,,,case rate,,64312,,,,,,,case rate,,27726,64312,
Skin graft for skin & subcutaneous tissue diagnoses,361,APR-DRG,,inpatient,,,13632,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13632,,,,,,,case rate,,18539,,,,,,,case rate,,13632,,,,,,,case rate,,13632,,,,,,,case rate,,13632,,,,,,,case rate,,15676,,,,,,,case rate,,14995,,,,,,,case rate,,13223,,,,,,,case rate,,13632,,,,,,,case rate,,13632,,,,,,,case rate,,14041,,,,,,,case rate,,30671,,,,,,,case rate,,13223,30671,
Skin graft for skin & subcutaneous tissue diagnoses,361,APR-DRG,,inpatient,,,19301,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19301,,,,,,,case rate,,26249,,,,,,,case rate,,19301,,,,,,,case rate,,19301,,,,,,,case rate,,19301,,,,,,,case rate,,22196,,,,,,,case rate,,21231,,,,,,,case rate,,18722,,,,,,,case rate,,19301,,,,,,,case rate,,19301,,,,,,,case rate,,19880,,,,,,,case rate,,43427,,,,,,,case rate,,18722,43427,
Skin graft for skin & subcutaneous tissue diagnoses,361,APR-DRG,,inpatient,,,34326,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,34326,,,,,,,case rate,,46684,,,,,,,case rate,,34326,,,,,,,case rate,,34326,,,,,,,case rate,,34326,,,,,,,case rate,,39475,,,,,,,case rate,,37759,,,,,,,case rate,,33297,,,,,,,case rate,,34326,,,,,,,case rate,,34326,,,,,,,case rate,,35356,,,,,,,case rate,,77235,,,,,,,case rate,,33297,77235,
Skin graft for skin & subcutaneous tissue diagnoses,361,APR-DRG,,inpatient,,,98674,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,98674,,,,,,,case rate,,134197,,,,,,,case rate,,98674,,,,,,,case rate,,98674,,,,,,,case rate,,98674,,,,,,,case rate,,113475,,,,,,,case rate,,108541,,,,,,,case rate,,95714,,,,,,,case rate,,98674,,,,,,,case rate,,98674,,,,,,,case rate,,101634,,,,,,,case rate,,222016,,,,,,,case rate,,95714,222016,
"Skin graft, except hand, for musculoskeletal & connective tissue diagnoses",312,APR-DRG,,inpatient,,,12528,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12528,,,,,,,case rate,,17038,,,,,,,case rate,,12528,,,,,,,case rate,,12528,,,,,,,case rate,,12528,,,,,,,case rate,,14407,,,,,,,case rate,,13781,,,,,,,case rate,,12152,,,,,,,case rate,,12528,,,,,,,case rate,,12528,,,,,,,case rate,,12904,,,,,,,case rate,,28188,,,,,,,case rate,,12152,28188,
"Skin graft, except hand, for musculoskeletal & connective tissue diagnoses",312,APR-DRG,,inpatient,,,23159,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23159,,,,,,,case rate,,31497,,,,,,,case rate,,23159,,,,,,,case rate,,23159,,,,,,,case rate,,23159,,,,,,,case rate,,26633,,,,,,,case rate,,25475,,,,,,,case rate,,22465,,,,,,,case rate,,23159,,,,,,,case rate,,23159,,,,,,,case rate,,23854,,,,,,,case rate,,52109,,,,,,,case rate,,22465,52109,
"Skin graft, except hand, for musculoskeletal & connective tissue diagnoses",312,APR-DRG,,inpatient,,,46536,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,46536,,,,,,,case rate,,63289,,,,,,,case rate,,46536,,,,,,,case rate,,46536,,,,,,,case rate,,46536,,,,,,,case rate,,53516,,,,,,,case rate,,51189,,,,,,,case rate,,45140,,,,,,,case rate,,46536,,,,,,,case rate,,46536,,,,,,,case rate,,47932,,,,,,,case rate,,104705,,,,,,,case rate,,45140,104705,
"Skin graft, except hand, for musculoskeletal & connective tissue diagnoses",312,APR-DRG,,inpatient,,,92526,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,92526,,,,,,,case rate,,125835,,,,,,,case rate,,92526,,,,,,,case rate,,92526,,,,,,,case rate,,92526,,,,,,,case rate,,106404,,,,,,,case rate,,101778,,,,,,,case rate,,89750,,,,,,,case rate,,92526,,,,,,,case rate,,92526,,,,,,,case rate,,95301,,,,,,,case rate,,208183,,,,,,,case rate,,89750,208183,
Skin ulcers,380,APR-DRG,,inpatient,,,7056,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7056,,,,,,,case rate,,9596,,,,,,,case rate,,7056,,,,,,,case rate,,7056,,,,,,,case rate,,7056,,,,,,,case rate,,8114,,,,,,,case rate,,7761,,,,,,,case rate,,6844,,,,,,,case rate,,7056,,,,,,,case rate,,7056,,,,,,,case rate,,7268,,,,,,,case rate,,15876,,,,,,,case rate,,6844,15876,
Skin ulcers,380,APR-DRG,,inpatient,,,8575,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8575,,,,,,,case rate,,11662,,,,,,,case rate,,8575,,,,,,,case rate,,8575,,,,,,,case rate,,8575,,,,,,,case rate,,9861,,,,,,,case rate,,9432,,,,,,,case rate,,8318,,,,,,,case rate,,8575,,,,,,,case rate,,8575,,,,,,,case rate,,8832,,,,,,,case rate,,19294,,,,,,,case rate,,8318,19294,
Skin ulcers,380,APR-DRG,,inpatient,,,13339,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13339,,,,,,,case rate,,18141,,,,,,,case rate,,13339,,,,,,,case rate,,13339,,,,,,,case rate,,13339,,,,,,,case rate,,15340,,,,,,,case rate,,14673,,,,,,,case rate,,12939,,,,,,,case rate,,13339,,,,,,,case rate,,13339,,,,,,,case rate,,13739,,,,,,,case rate,,30012,,,,,,,case rate,,12939,30012,
Skin ulcers,380,APR-DRG,,inpatient,,,25616,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,25616,,,,,,,case rate,,34838,,,,,,,case rate,,25616,,,,,,,case rate,,25616,,,,,,,case rate,,25616,,,,,,,case rate,,29458,,,,,,,case rate,,28177,,,,,,,case rate,,24847,,,,,,,case rate,,25616,,,,,,,case rate,,25616,,,,,,,case rate,,26384,,,,,,,case rate,,57636,,,,,,,case rate,,24847,57636,
Spinal disorders & injuries,40,APR-DRG,,inpatient,,,8386,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8386,,,,,,,case rate,,11405,,,,,,,case rate,,8386,,,,,,,case rate,,8386,,,,,,,case rate,,8386,,,,,,,case rate,,9644,,,,,,,case rate,,9224,,,,,,,case rate,,8134,,,,,,,case rate,,8386,,,,,,,case rate,,8386,,,,,,,case rate,,8637,,,,,,,case rate,,18868,,,,,,,case rate,,8134,18868,
Spinal disorders & injuries,40,APR-DRG,,inpatient,,,13200,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13200,,,,,,,case rate,,17952,,,,,,,case rate,,13200,,,,,,,case rate,,13200,,,,,,,case rate,,13200,,,,,,,case rate,,15180,,,,,,,case rate,,14520,,,,,,,case rate,,12804,,,,,,,case rate,,13200,,,,,,,case rate,,13200,,,,,,,case rate,,13596,,,,,,,case rate,,29700,,,,,,,case rate,,12804,29700,
Spinal disorders & injuries,40,APR-DRG,,inpatient,,,23603,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23603,,,,,,,case rate,,32101,,,,,,,case rate,,23603,,,,,,,case rate,,23603,,,,,,,case rate,,23603,,,,,,,case rate,,27144,,,,,,,case rate,,25964,,,,,,,case rate,,22895,,,,,,,case rate,,23603,,,,,,,case rate,,23603,,,,,,,case rate,,24312,,,,,,,case rate,,53108,,,,,,,case rate,,22895,53108,
Spinal disorders & injuries,40,APR-DRG,,inpatient,,,27915,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27915,,,,,,,case rate,,37964,,,,,,,case rate,,27915,,,,,,,case rate,,27915,,,,,,,case rate,,27915,,,,,,,case rate,,32102,,,,,,,case rate,,30707,,,,,,,case rate,,27078,,,,,,,case rate,,27915,,,,,,,case rate,,27915,,,,,,,case rate,,28752,,,,,,,case rate,,62809,,,,,,,case rate,,27078,62809,
Spinal procedures,23,APR-DRG,,inpatient,,,16866,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16866,,,,,,,case rate,,22938,,,,,,,case rate,,16866,,,,,,,case rate,,16866,,,,,,,case rate,,16866,,,,,,,case rate,,19396,,,,,,,case rate,,18553,,,,,,,case rate,,16360,,,,,,,case rate,,16866,,,,,,,case rate,,16866,,,,,,,case rate,,17372,,,,,,,case rate,,37949,,,,,,,case rate,,16360,37949,
Spinal procedures,23,APR-DRG,,inpatient,,,22673,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22673,,,,,,,case rate,,30836,,,,,,,case rate,,22673,,,,,,,case rate,,22673,,,,,,,case rate,,22673,,,,,,,case rate,,26074,,,,,,,case rate,,24941,,,,,,,case rate,,21993,,,,,,,case rate,,22673,,,,,,,case rate,,22673,,,,,,,case rate,,23353,,,,,,,case rate,,51015,,,,,,,case rate,,21993,51015,
Spinal procedures,23,APR-DRG,,inpatient,,,44158,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,44158,,,,,,,case rate,,60055,,,,,,,case rate,,44158,,,,,,,case rate,,44158,,,,,,,case rate,,44158,,,,,,,case rate,,50782,,,,,,,case rate,,48574,,,,,,,case rate,,42834,,,,,,,case rate,,44158,,,,,,,case rate,,44158,,,,,,,case rate,,45483,,,,,,,case rate,,99356,,,,,,,case rate,,42834,99356,
Spinal procedures,23,APR-DRG,,inpatient,,,83068,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,83068,,,,,,,case rate,,112972,,,,,,,case rate,,83068,,,,,,,case rate,,83068,,,,,,,case rate,,83068,,,,,,,case rate,,95528,,,,,,,case rate,,91375,,,,,,,case rate,,80576,,,,,,,case rate,,83068,,,,,,,case rate,,83068,,,,,,,case rate,,85560,,,,,,,case rate,,186903,,,,,,,case rate,,80576,186903,
Splenectomy,650,APR-DRG,,inpatient,,,13354,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13354,,,,,,,case rate,,18162,,,,,,,case rate,,13354,,,,,,,case rate,,13354,,,,,,,case rate,,13354,,,,,,,case rate,,15357,,,,,,,case rate,,14690,,,,,,,case rate,,12954,,,,,,,case rate,,13354,,,,,,,case rate,,13354,,,,,,,case rate,,13755,,,,,,,case rate,,30047,,,,,,,case rate,,12954,30047,
Splenectomy,650,APR-DRG,,inpatient,,,20396,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20396,,,,,,,case rate,,27738,,,,,,,case rate,,20396,,,,,,,case rate,,20396,,,,,,,case rate,,20396,,,,,,,case rate,,23455,,,,,,,case rate,,22435,,,,,,,case rate,,19784,,,,,,,case rate,,20396,,,,,,,case rate,,20396,,,,,,,case rate,,21008,,,,,,,case rate,,45890,,,,,,,case rate,,19784,45890,
Splenectomy,650,APR-DRG,,inpatient,,,24578,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24578,,,,,,,case rate,,33426,,,,,,,case rate,,24578,,,,,,,case rate,,24578,,,,,,,case rate,,24578,,,,,,,case rate,,28264,,,,,,,case rate,,27036,,,,,,,case rate,,23840,,,,,,,case rate,,24578,,,,,,,case rate,,24578,,,,,,,case rate,,25315,,,,,,,case rate,,55300,,,,,,,case rate,,23840,55300,
Splenectomy,650,APR-DRG,,inpatient,,,58615,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,58615,,,,,,,case rate,,79717,,,,,,,case rate,,58615,,,,,,,case rate,,58615,,,,,,,case rate,,58615,,,,,,,case rate,,67408,,,,,,,case rate,,64477,,,,,,,case rate,,56857,,,,,,,case rate,,58615,,,,,,,case rate,,58615,,,,,,,case rate,,60374,,,,,,,case rate,,131885,,,,,,,case rate,,56857,131885,
Syncope & collapse,204,APR-DRG,,inpatient,,,4731,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4731,,,,,,,case rate,,6434,,,,,,,case rate,,4731,,,,,,,case rate,,4731,,,,,,,case rate,,4731,,,,,,,case rate,,5441,,,,,,,case rate,,5204,,,,,,,case rate,,4589,,,,,,,case rate,,4731,,,,,,,case rate,,4731,,,,,,,case rate,,4873,,,,,,,case rate,,10645,,,,,,,case rate,,4589,10645,
Syncope & collapse,204,APR-DRG,,inpatient,,,5910,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5910,,,,,,,case rate,,8037,,,,,,,case rate,,5910,,,,,,,case rate,,5910,,,,,,,case rate,,5910,,,,,,,case rate,,6796,,,,,,,case rate,,6501,,,,,,,case rate,,5733,,,,,,,case rate,,5910,,,,,,,case rate,,5910,,,,,,,case rate,,6087,,,,,,,case rate,,13297,,,,,,,case rate,,5733,13297,
Syncope & collapse,204,APR-DRG,,inpatient,,,8833,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8833,,,,,,,case rate,,12013,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,10158,,,,,,,case rate,,9716,,,,,,,case rate,,8568,,,,,,,case rate,,8833,,,,,,,case rate,,8833,,,,,,,case rate,,9098,,,,,,,case rate,,19874,,,,,,,case rate,,8568,19874,
Syncope & collapse,204,APR-DRG,,inpatient,,,21797,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21797,,,,,,,case rate,,29643,,,,,,,case rate,,21797,,,,,,,case rate,,21797,,,,,,,case rate,,21797,,,,,,,case rate,,25066,,,,,,,case rate,,23976,,,,,,,case rate,,21143,,,,,,,case rate,,21797,,,,,,,case rate,,21797,,,,,,,case rate,,22450,,,,,,,case rate,,49042,,,,,,,case rate,,21143,49042,
"Tendon, muscle & other soft tissue procedures",317,APR-DRG,,inpatient,,,9248,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9248,,,,,,,case rate,,12577,,,,,,,case rate,,9248,,,,,,,case rate,,9248,,,,,,,case rate,,9248,,,,,,,case rate,,10635,,,,,,,case rate,,10173,,,,,,,case rate,,8971,,,,,,,case rate,,9248,,,,,,,case rate,,9248,,,,,,,case rate,,9526,,,,,,,case rate,,20808,,,,,,,case rate,,8971,20808,
"Tendon, muscle & other soft tissue procedures",317,APR-DRG,,inpatient,,,14748,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,14748,,,,,,,case rate,,20057,,,,,,,case rate,,14748,,,,,,,case rate,,14748,,,,,,,case rate,,14748,,,,,,,case rate,,16960,,,,,,,case rate,,16223,,,,,,,case rate,,14305,,,,,,,case rate,,14748,,,,,,,case rate,,14748,,,,,,,case rate,,15190,,,,,,,case rate,,33183,,,,,,,case rate,,14305,33183,
"Tendon, muscle & other soft tissue procedures",317,APR-DRG,,inpatient,,,26803,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26803,,,,,,,case rate,,36452,,,,,,,case rate,,26803,,,,,,,case rate,,26803,,,,,,,case rate,,26803,,,,,,,case rate,,30823,,,,,,,case rate,,29483,,,,,,,case rate,,25999,,,,,,,case rate,,26803,,,,,,,case rate,,26803,,,,,,,case rate,,27607,,,,,,,case rate,,60307,,,,,,,case rate,,25999,60307,
"Tendon, muscle & other soft tissue procedures",317,APR-DRG,,inpatient,,,64936,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,64936,,,,,,,case rate,,88314,,,,,,,case rate,,64936,,,,,,,case rate,,64936,,,,,,,case rate,,64936,,,,,,,case rate,,74677,,,,,,,case rate,,71430,,,,,,,case rate,,62988,,,,,,,case rate,,64936,,,,,,,case rate,,64936,,,,,,,case rate,,66884,,,,,,,case rate,,146107,,,,,,,case rate,,62988,146107,
Testes & scrotal procedures,483,APR-DRG,,inpatient,,,6493,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6493,,,,,,,case rate,,8830,,,,,,,case rate,,6493,,,,,,,case rate,,6493,,,,,,,case rate,,6493,,,,,,,case rate,,7467,,,,,,,case rate,,7142,,,,,,,case rate,,6298,,,,,,,case rate,,6493,,,,,,,case rate,,6493,,,,,,,case rate,,6687,,,,,,,case rate,,14608,,,,,,,case rate,,6298,14608,
Testes & scrotal procedures,483,APR-DRG,,inpatient,,,13166,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13166,,,,,,,case rate,,17906,,,,,,,case rate,,13166,,,,,,,case rate,,13166,,,,,,,case rate,,13166,,,,,,,case rate,,15141,,,,,,,case rate,,14483,,,,,,,case rate,,12771,,,,,,,case rate,,13166,,,,,,,case rate,,13166,,,,,,,case rate,,13561,,,,,,,case rate,,29624,,,,,,,case rate,,12771,29624,
Testes & scrotal procedures,483,APR-DRG,,inpatient,,,32699,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,32699,,,,,,,case rate,,44471,,,,,,,case rate,,32699,,,,,,,case rate,,32699,,,,,,,case rate,,32699,,,,,,,case rate,,37604,,,,,,,case rate,,35969,,,,,,,case rate,,31718,,,,,,,case rate,,32699,,,,,,,case rate,,32699,,,,,,,case rate,,33680,,,,,,,case rate,,73574,,,,,,,case rate,,31718,73574,
Testes & scrotal procedures,483,APR-DRG,,inpatient,,,43969,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,43969,,,,,,,case rate,,59798,,,,,,,case rate,,43969,,,,,,,case rate,,43969,,,,,,,case rate,,43969,,,,,,,case rate,,50565,,,,,,,case rate,,48366,,,,,,,case rate,,42650,,,,,,,case rate,,43969,,,,,,,case rate,,43969,,,,,,,case rate,,45288,,,,,,,case rate,,98931,,,,,,,case rate,,42650,98931,
"Thyroid, parathyroid & thyroglossal procedures",404,APR-DRG,,inpatient,,,6870,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6870,,,,,,,case rate,,9343,,,,,,,case rate,,6870,,,,,,,case rate,,6870,,,,,,,case rate,,6870,,,,,,,case rate,,7900,,,,,,,case rate,,7557,,,,,,,case rate,,6664,,,,,,,case rate,,6870,,,,,,,case rate,,6870,,,,,,,case rate,,7076,,,,,,,case rate,,15457,,,,,,,case rate,,6664,15457,
"Thyroid, parathyroid & thyroglossal procedures",404,APR-DRG,,inpatient,,,8923,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8923,,,,,,,case rate,,12136,,,,,,,case rate,,8923,,,,,,,case rate,,8923,,,,,,,case rate,,8923,,,,,,,case rate,,10262,,,,,,,case rate,,9816,,,,,,,case rate,,8656,,,,,,,case rate,,8923,,,,,,,case rate,,8923,,,,,,,case rate,,9191,,,,,,,case rate,,20078,,,,,,,case rate,,8656,20078,
"Thyroid, parathyroid & thyroglossal procedures",404,APR-DRG,,inpatient,,,22915,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22915,,,,,,,case rate,,31164,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,26352,,,,,,,case rate,,25206,,,,,,,case rate,,22227,,,,,,,case rate,,22915,,,,,,,case rate,,22915,,,,,,,case rate,,23602,,,,,,,case rate,,51558,,,,,,,case rate,,22227,51558,
"Thyroid, parathyroid & thyroglossal procedures",404,APR-DRG,,inpatient,,,27408,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27408,,,,,,,case rate,,37275,,,,,,,case rate,,27408,,,,,,,case rate,,27408,,,,,,,case rate,,27408,,,,,,,case rate,,31520,,,,,,,case rate,,30149,,,,,,,case rate,,26586,,,,,,,case rate,,27408,,,,,,,case rate,,27408,,,,,,,case rate,,28231,,,,,,,case rate,,61669,,,,,,,case rate,,26586,61669,
Tonsil & adenoid procedures,97,APR-DRG,,inpatient,,,4977,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4977,,,,,,,case rate,,6768,,,,,,,case rate,,4977,,,,,,,case rate,,4977,,,,,,,case rate,,4977,,,,,,,case rate,,5723,,,,,,,case rate,,5474,,,,,,,case rate,,4827,,,,,,,case rate,,4977,,,,,,,case rate,,4977,,,,,,,case rate,,5126,,,,,,,case rate,,11197,,,,,,,case rate,,4827,11197,
Tonsil & adenoid procedures,97,APR-DRG,,inpatient,,,7098,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7098,,,,,,,case rate,,9653,,,,,,,case rate,,7098,,,,,,,case rate,,7098,,,,,,,case rate,,7098,,,,,,,case rate,,8163,,,,,,,case rate,,7808,,,,,,,case rate,,6885,,,,,,,case rate,,7098,,,,,,,case rate,,7098,,,,,,,case rate,,7311,,,,,,,case rate,,15970,,,,,,,case rate,,6885,15970,
Tonsil & adenoid procedures,97,APR-DRG,,inpatient,,,15202,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15202,,,,,,,case rate,,20675,,,,,,,case rate,,15202,,,,,,,case rate,,15202,,,,,,,case rate,,15202,,,,,,,case rate,,17483,,,,,,,case rate,,16722,,,,,,,case rate,,14746,,,,,,,case rate,,15202,,,,,,,case rate,,15202,,,,,,,case rate,,15658,,,,,,,case rate,,34205,,,,,,,case rate,,14746,34205,
Tonsil & adenoid procedures,97,APR-DRG,,inpatient,,,40847,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,40847,,,,,,,case rate,,55552,,,,,,,case rate,,40847,,,,,,,case rate,,40847,,,,,,,case rate,,40847,,,,,,,case rate,,46974,,,,,,,case rate,,44932,,,,,,,case rate,,39621,,,,,,,case rate,,40847,,,,,,,case rate,,40847,,,,,,,case rate,,42072,,,,,,,case rate,,91905,,,,,,,case rate,,39621,91905,
Toxic effects of non-medicinal substances,816,APR-DRG,,inpatient,,,4605,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4605,,,,,,,case rate,,6262,,,,,,,case rate,,4605,,,,,,,case rate,,4605,,,,,,,case rate,,4605,,,,,,,case rate,,5295,,,,,,,case rate,,5065,,,,,,,case rate,,4466,,,,,,,case rate,,4605,,,,,,,case rate,,4605,,,,,,,case rate,,4743,,,,,,,case rate,,10360,,,,,,,case rate,,4466,10360,
Toxic effects of non-medicinal substances,816,APR-DRG,,inpatient,,,5821,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5821,,,,,,,case rate,,7917,,,,,,,case rate,,5821,,,,,,,case rate,,5821,,,,,,,case rate,,5821,,,,,,,case rate,,6695,,,,,,,case rate,,6404,,,,,,,case rate,,5647,,,,,,,case rate,,5821,,,,,,,case rate,,5821,,,,,,,case rate,,5996,,,,,,,case rate,,13098,,,,,,,case rate,,5647,13098,
Toxic effects of non-medicinal substances,816,APR-DRG,,inpatient,,,9056,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9056,,,,,,,case rate,,12316,,,,,,,case rate,,9056,,,,,,,case rate,,9056,,,,,,,case rate,,9056,,,,,,,case rate,,10414,,,,,,,case rate,,9962,,,,,,,case rate,,8784,,,,,,,case rate,,9056,,,,,,,case rate,,9056,,,,,,,case rate,,9328,,,,,,,case rate,,20376,,,,,,,case rate,,8784,20376,
Toxic effects of non-medicinal substances,816,APR-DRG,,inpatient,,,21522,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,21522,,,,,,,case rate,,29270,,,,,,,case rate,,21522,,,,,,,case rate,,21522,,,,,,,case rate,,21522,,,,,,,case rate,,24750,,,,,,,case rate,,23674,,,,,,,case rate,,20876,,,,,,,case rate,,21522,,,,,,,case rate,,21522,,,,,,,case rate,,22168,,,,,,,case rate,,48425,,,,,,,case rate,,20876,48425,
Tracheostomy w MV 96+ hours w extensive procedure or ECMO,4,APR-DRG,,inpatient,,,73884,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,73884,,,,,,,case rate,,100483,,,,,,,case rate,,73884,,,,,,,case rate,,73884,,,,,,,case rate,,73884,,,,,,,case rate,,84967,,,,,,,case rate,,81273,,,,,,,case rate,,71668,,,,,,,case rate,,73884,,,,,,,case rate,,73884,,,,,,,case rate,,76101,,,,,,,case rate,,166240,,,,,,,case rate,,71668,166240,
Tracheostomy w MV 96+ hours w extensive procedure or ECMO,4,APR-DRG,,inpatient,,,73884,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,73884,,,,,,,case rate,,100483,,,,,,,case rate,,73884,,,,,,,case rate,,73884,,,,,,,case rate,,73884,,,,,,,case rate,,84967,,,,,,,case rate,,81273,,,,,,,case rate,,71668,,,,,,,case rate,,73884,,,,,,,case rate,,73884,,,,,,,case rate,,76101,,,,,,,case rate,,166240,,,,,,,case rate,,71668,166240,
Tracheostomy w MV 96+ hours w extensive procedure or ECMO,4,APR-DRG,,inpatient,,,103506,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,103506,,,,,,,case rate,,140768,,,,,,,case rate,,103506,,,,,,,case rate,,103506,,,,,,,case rate,,103506,,,,,,,case rate,,119031,,,,,,,case rate,,113856,,,,,,,case rate,,100400,,,,,,,case rate,,103506,,,,,,,case rate,,103506,,,,,,,case rate,,106611,,,,,,,case rate,,232888,,,,,,,case rate,,100400,232888,
Tracheostomy w MV 96+ hours w extensive procedure or ECMO,4,APR-DRG,,inpatient,,,185745,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,185745,,,,,,,case rate,,252613,,,,,,,case rate,,185745,,,,,,,case rate,,185745,,,,,,,case rate,,185745,,,,,,,case rate,,213607,,,,,,,case rate,,204320,,,,,,,case rate,,180173,,,,,,,case rate,,185745,,,,,,,case rate,,185745,,,,,,,case rate,,191317,,,,,,,case rate,,417926,,,,,,,case rate,,180173,417926,
Tracheostomy w MV 96+ hours w/o extensive procedure,5,APR-DRG,,inpatient,,,58545,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,58545,,,,,,,case rate,,79621,,,,,,,case rate,,58545,,,,,,,case rate,,58545,,,,,,,case rate,,58545,,,,,,,case rate,,67326,,,,,,,case rate,,64399,,,,,,,case rate,,56788,,,,,,,case rate,,58545,,,,,,,case rate,,58545,,,,,,,case rate,,60301,,,,,,,case rate,,131725,,,,,,,case rate,,56788,131725,
Tracheostomy w MV 96+ hours w/o extensive procedure,5,APR-DRG,,inpatient,,,60061,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,60061,,,,,,,case rate,,81682,,,,,,,case rate,,60061,,,,,,,case rate,,60061,,,,,,,case rate,,60061,,,,,,,case rate,,69070,,,,,,,case rate,,66067,,,,,,,case rate,,58259,,,,,,,case rate,,60061,,,,,,,case rate,,60061,,,,,,,case rate,,61862,,,,,,,case rate,,135136,,,,,,,case rate,,58259,135136,
Tracheostomy w MV 96+ hours w/o extensive procedure,5,APR-DRG,,inpatient,,,94894,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,94894,,,,,,,case rate,,129055,,,,,,,case rate,,94894,,,,,,,case rate,,94894,,,,,,,case rate,,94894,,,,,,,case rate,,109128,,,,,,,case rate,,104383,,,,,,,case rate,,92047,,,,,,,case rate,,94894,,,,,,,case rate,,94894,,,,,,,case rate,,97741,,,,,,,case rate,,213511,,,,,,,case rate,,92047,213511,
Tracheostomy w MV 96+ hours w/o extensive procedure,5,APR-DRG,,inpatient,,,141728,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,141728,,,,,,,case rate,,192751,,,,,,,case rate,,141728,,,,,,,case rate,,141728,,,,,,,case rate,,141728,,,,,,,case rate,,162988,,,,,,,case rate,,155901,,,,,,,case rate,,137477,,,,,,,case rate,,141728,,,,,,,case rate,,141728,,,,,,,case rate,,145980,,,,,,,case rate,,318889,,,,,,,case rate,,137477,318889,
Transient ischemia,47,APR-DRG,,inpatient,,,5277,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5277,,,,,,,case rate,,7176,,,,,,,case rate,,5277,,,,,,,case rate,,5277,,,,,,,case rate,,5277,,,,,,,case rate,,6068,,,,,,,case rate,,5804,,,,,,,case rate,,5118,,,,,,,case rate,,5277,,,,,,,case rate,,5277,,,,,,,case rate,,5435,,,,,,,case rate,,11873,,,,,,,case rate,,5118,11873,
Transient ischemia,47,APR-DRG,,inpatient,,,6505,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6505,,,,,,,case rate,,8847,,,,,,,case rate,,6505,,,,,,,case rate,,6505,,,,,,,case rate,,6505,,,,,,,case rate,,7481,,,,,,,case rate,,7155,,,,,,,case rate,,6310,,,,,,,case rate,,6505,,,,,,,case rate,,6505,,,,,,,case rate,,6700,,,,,,,case rate,,14636,,,,,,,case rate,,6310,14636,
Transient ischemia,47,APR-DRG,,inpatient,,,8999,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8999,,,,,,,case rate,,12239,,,,,,,case rate,,8999,,,,,,,case rate,,8999,,,,,,,case rate,,8999,,,,,,,case rate,,10349,,,,,,,case rate,,9899,,,,,,,case rate,,8729,,,,,,,case rate,,8999,,,,,,,case rate,,8999,,,,,,,case rate,,9269,,,,,,,case rate,,20249,,,,,,,case rate,,8729,20249,
Transient ischemia,47,APR-DRG,,inpatient,,,9214,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,9214,,,,,,,case rate,,12531,,,,,,,case rate,,9214,,,,,,,case rate,,9214,,,,,,,case rate,,9214,,,,,,,case rate,,10596,,,,,,,case rate,,10136,,,,,,,case rate,,8938,,,,,,,case rate,,9214,,,,,,,case rate,,9214,,,,,,,case rate,,9491,,,,,,,case rate,,20732,,,,,,,case rate,,8938,20732,
Transurethral prostatectomy,482,APR-DRG,,inpatient,,,6218,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6218,,,,,,,case rate,,8457,,,,,,,case rate,,6218,,,,,,,case rate,,6218,,,,,,,case rate,,6218,,,,,,,case rate,,7151,,,,,,,case rate,,6840,,,,,,,case rate,,6032,,,,,,,case rate,,6218,,,,,,,case rate,,6218,,,,,,,case rate,,6405,,,,,,,case rate,,13991,,,,,,,case rate,,6032,13991,
Transurethral prostatectomy,482,APR-DRG,,inpatient,,,8714,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8714,,,,,,,case rate,,11851,,,,,,,case rate,,8714,,,,,,,case rate,,8714,,,,,,,case rate,,8714,,,,,,,case rate,,10021,,,,,,,case rate,,9585,,,,,,,case rate,,8452,,,,,,,case rate,,8714,,,,,,,case rate,,8714,,,,,,,case rate,,8975,,,,,,,case rate,,19606,,,,,,,case rate,,8452,19606,
Transurethral prostatectomy,482,APR-DRG,,inpatient,,,24193,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,24193,,,,,,,case rate,,32903,,,,,,,case rate,,24193,,,,,,,case rate,,24193,,,,,,,case rate,,24193,,,,,,,case rate,,27822,,,,,,,case rate,,26613,,,,,,,case rate,,23468,,,,,,,case rate,,24193,,,,,,,case rate,,24193,,,,,,,case rate,,24919,,,,,,,case rate,,54435,,,,,,,case rate,,23468,54435,
Transurethral prostatectomy,482,APR-DRG,,inpatient,,,27809,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27809,,,,,,,case rate,,37820,,,,,,,case rate,,27809,,,,,,,case rate,,27809,,,,,,,case rate,,27809,,,,,,,case rate,,31981,,,,,,,case rate,,30590,,,,,,,case rate,,26975,,,,,,,case rate,,27809,,,,,,,case rate,,27809,,,,,,,case rate,,28643,,,,,,,case rate,,62571,,,,,,,case rate,,26975,62571,
Urethral & transurethral procedures,446,APR-DRG,,inpatient,,,7035,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7035,,,,,,,case rate,,9568,,,,,,,case rate,,7035,,,,,,,case rate,,7035,,,,,,,case rate,,7035,,,,,,,case rate,,8091,,,,,,,case rate,,7739,,,,,,,case rate,,6824,,,,,,,case rate,,7035,,,,,,,case rate,,7035,,,,,,,case rate,,7246,,,,,,,case rate,,15829,,,,,,,case rate,,6824,15829,
Urethral & transurethral procedures,446,APR-DRG,,inpatient,,,8122,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8122,,,,,,,case rate,,11045,,,,,,,case rate,,8122,,,,,,,case rate,,8122,,,,,,,case rate,,8122,,,,,,,case rate,,9340,,,,,,,case rate,,8934,,,,,,,case rate,,7878,,,,,,,case rate,,8122,,,,,,,case rate,,8122,,,,,,,case rate,,8365,,,,,,,case rate,,18274,,,,,,,case rate,,7878,18274,
Urethral & transurethral procedures,446,APR-DRG,,inpatient,,,15497,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15497,,,,,,,case rate,,21076,,,,,,,case rate,,15497,,,,,,,case rate,,15497,,,,,,,case rate,,15497,,,,,,,case rate,,17822,,,,,,,case rate,,17047,,,,,,,case rate,,15032,,,,,,,case rate,,15497,,,,,,,case rate,,15497,,,,,,,case rate,,15962,,,,,,,case rate,,34869,,,,,,,case rate,,15032,34869,
Urethral & transurethral procedures,446,APR-DRG,,inpatient,,,33803,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,33803,,,,,,,case rate,,45973,,,,,,,case rate,,33803,,,,,,,case rate,,33803,,,,,,,case rate,,33803,,,,,,,case rate,,38874,,,,,,,case rate,,37184,,,,,,,case rate,,32789,,,,,,,case rate,,33803,,,,,,,case rate,,33803,,,,,,,case rate,,34817,,,,,,,case rate,,76057,,,,,,,case rate,,32789,76057,
Urinary stones & acquired upper urinary tract obstruction,465,APR-DRG,,inpatient,,,4607,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4607,,,,,,,case rate,,6265,,,,,,,case rate,,4607,,,,,,,case rate,,4607,,,,,,,case rate,,4607,,,,,,,case rate,,5298,,,,,,,case rate,,5067,,,,,,,case rate,,4468,,,,,,,case rate,,4607,,,,,,,case rate,,4607,,,,,,,case rate,,4745,,,,,,,case rate,,10365,,,,,,,case rate,,4468,10365,
Urinary stones & acquired upper urinary tract obstruction,465,APR-DRG,,inpatient,,,5368,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5368,,,,,,,case rate,,7301,,,,,,,case rate,,5368,,,,,,,case rate,,5368,,,,,,,case rate,,5368,,,,,,,case rate,,6173,,,,,,,case rate,,5905,,,,,,,case rate,,5207,,,,,,,case rate,,5368,,,,,,,case rate,,5368,,,,,,,case rate,,5529,,,,,,,case rate,,12078,,,,,,,case rate,,5207,12078,
Urinary stones & acquired upper urinary tract obstruction,465,APR-DRG,,inpatient,,,8948,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8948,,,,,,,case rate,,12169,,,,,,,case rate,,8948,,,,,,,case rate,,8948,,,,,,,case rate,,8948,,,,,,,case rate,,10290,,,,,,,case rate,,9843,,,,,,,case rate,,8680,,,,,,,case rate,,8948,,,,,,,case rate,,8948,,,,,,,case rate,,9216,,,,,,,case rate,,20133,,,,,,,case rate,,8680,20133,
Urinary stones & acquired upper urinary tract obstruction,465,APR-DRG,,inpatient,,,22293,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,22293,,,,,,,case rate,,30318,,,,,,,case rate,,22293,,,,,,,case rate,,22293,,,,,,,case rate,,22293,,,,,,,case rate,,25637,,,,,,,case rate,,24522,,,,,,,case rate,,21624,,,,,,,case rate,,22293,,,,,,,case rate,,22293,,,,,,,case rate,,22962,,,,,,,case rate,,50159,,,,,,,case rate,,21624,50159,
Uterine & adnexa procedures for leiomyoma,519,APR-DRG,,inpatient,,,8827,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8827,,,,,,,case rate,,12004,,,,,,,case rate,,8827,,,,,,,case rate,,8827,,,,,,,case rate,,8827,,,,,,,case rate,,10151,,,,,,,case rate,,9709,,,,,,,case rate,,8562,,,,,,,case rate,,8827,,,,,,,case rate,,8827,,,,,,,case rate,,9092,,,,,,,case rate,,19860,,,,,,,case rate,,8562,19860,
Uterine & adnexa procedures for leiomyoma,519,APR-DRG,,inpatient,,,11050,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11050,,,,,,,case rate,,15028,,,,,,,case rate,,11050,,,,,,,case rate,,11050,,,,,,,case rate,,11050,,,,,,,case rate,,12707,,,,,,,case rate,,12155,,,,,,,case rate,,10718,,,,,,,case rate,,11050,,,,,,,case rate,,11050,,,,,,,case rate,,11381,,,,,,,case rate,,24862,,,,,,,case rate,,10718,24862,
Uterine & adnexa procedures for leiomyoma,519,APR-DRG,,inpatient,,,20343,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,20343,,,,,,,case rate,,27667,,,,,,,case rate,,20343,,,,,,,case rate,,20343,,,,,,,case rate,,20343,,,,,,,case rate,,23395,,,,,,,case rate,,22378,,,,,,,case rate,,19733,,,,,,,case rate,,20343,,,,,,,case rate,,20343,,,,,,,case rate,,20954,,,,,,,case rate,,45772,,,,,,,case rate,,19733,45772,
Uterine & adnexa procedures for leiomyoma,519,APR-DRG,,inpatient,,,62170,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,62170,,,,,,,case rate,,84551,,,,,,,case rate,,62170,,,,,,,case rate,,62170,,,,,,,case rate,,62170,,,,,,,case rate,,71495,,,,,,,case rate,,68387,,,,,,,case rate,,60304,,,,,,,case rate,,62170,,,,,,,case rate,,62170,,,,,,,case rate,,64035,,,,,,,case rate,,139882,,,,,,,case rate,,60304,139882,
Uterine & adnexa procedures for non-malignancy except leiomyoma,513,APR-DRG,,inpatient,,,8970,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8970,,,,,,,case rate,,12199,,,,,,,case rate,,8970,,,,,,,case rate,,8970,,,,,,,case rate,,8970,,,,,,,case rate,,10315,,,,,,,case rate,,9867,,,,,,,case rate,,8701,,,,,,,case rate,,8970,,,,,,,case rate,,8970,,,,,,,case rate,,9239,,,,,,,case rate,,20182,,,,,,,case rate,,8701,20182,
Uterine & adnexa procedures for non-malignancy except leiomyoma,513,APR-DRG,,inpatient,,,10671,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10671,,,,,,,case rate,,14512,,,,,,,case rate,,10671,,,,,,,case rate,,10671,,,,,,,case rate,,10671,,,,,,,case rate,,12271,,,,,,,case rate,,11738,,,,,,,case rate,,10351,,,,,,,case rate,,10671,,,,,,,case rate,,10671,,,,,,,case rate,,10991,,,,,,,case rate,,24009,,,,,,,case rate,,10351,24009,
Uterine & adnexa procedures for non-malignancy except leiomyoma,513,APR-DRG,,inpatient,,,19016,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,19016,,,,,,,case rate,,25862,,,,,,,case rate,,19016,,,,,,,case rate,,19016,,,,,,,case rate,,19016,,,,,,,case rate,,21869,,,,,,,case rate,,20918,,,,,,,case rate,,18446,,,,,,,case rate,,19016,,,,,,,case rate,,19016,,,,,,,case rate,,19587,,,,,,,case rate,,42787,,,,,,,case rate,,18446,42787,
Uterine & adnexa procedures for non-malignancy except leiomyoma,513,APR-DRG,,inpatient,,,49351,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,49351,,,,,,,case rate,,67117,,,,,,,case rate,,49351,,,,,,,case rate,,49351,,,,,,,case rate,,49351,,,,,,,case rate,,56753,,,,,,,case rate,,54286,,,,,,,case rate,,47870,,,,,,,case rate,,49351,,,,,,,case rate,,49351,,,,,,,case rate,,50831,,,,,,,case rate,,111039,,,,,,,case rate,,47870,111039,
Uterine & adnexa procedures for non-ovarian & non-adnexal malig,512,APR-DRG,,inpatient,,,11255,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11255,,,,,,,case rate,,15307,,,,,,,case rate,,11255,,,,,,,case rate,,11255,,,,,,,case rate,,11255,,,,,,,case rate,,12944,,,,,,,case rate,,12381,,,,,,,case rate,,10918,,,,,,,case rate,,11255,,,,,,,case rate,,11255,,,,,,,case rate,,11593,,,,,,,case rate,,25325,,,,,,,case rate,,10918,25325,
Uterine & adnexa procedures for non-ovarian & non-adnexal malig,512,APR-DRG,,inpatient,,,13943,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13943,,,,,,,case rate,,18963,,,,,,,case rate,,13943,,,,,,,case rate,,13943,,,,,,,case rate,,13943,,,,,,,case rate,,16035,,,,,,,case rate,,15337,,,,,,,case rate,,13525,,,,,,,case rate,,13943,,,,,,,case rate,,13943,,,,,,,case rate,,14361,,,,,,,case rate,,31372,,,,,,,case rate,,13525,31372,
Uterine & adnexa procedures for non-ovarian & non-adnexal malig,512,APR-DRG,,inpatient,,,23687,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,23687,,,,,,,case rate,,32214,,,,,,,case rate,,23687,,,,,,,case rate,,23687,,,,,,,case rate,,23687,,,,,,,case rate,,27240,,,,,,,case rate,,26055,,,,,,,case rate,,22976,,,,,,,case rate,,23687,,,,,,,case rate,,23687,,,,,,,case rate,,24397,,,,,,,case rate,,53295,,,,,,,case rate,,22976,53295,
Uterine & adnexa procedures for non-ovarian & non-adnexal malig,512,APR-DRG,,inpatient,,,77120,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,77120,,,,,,,case rate,,104883,,,,,,,case rate,,77120,,,,,,,case rate,,77120,,,,,,,case rate,,77120,,,,,,,case rate,,88688,,,,,,,case rate,,84832,,,,,,,case rate,,74806,,,,,,,case rate,,77120,,,,,,,case rate,,77120,,,,,,,case rate,,79434,,,,,,,case rate,,173520,,,,,,,case rate,,74806,173520,
Uterine & adnexa procedures for ovarian & adnexal malignancy,511,APR-DRG,,inpatient,,,13165,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13165,,,,,,,case rate,,17905,,,,,,,case rate,,13165,,,,,,,case rate,,13165,,,,,,,case rate,,13165,,,,,,,case rate,,15140,,,,,,,case rate,,14482,,,,,,,case rate,,12770,,,,,,,case rate,,13165,,,,,,,case rate,,13165,,,,,,,case rate,,13560,,,,,,,case rate,,29621,,,,,,,case rate,,12770,29621,
Uterine & adnexa procedures for ovarian & adnexal malignancy,511,APR-DRG,,inpatient,,,15826,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15826,,,,,,,case rate,,21523,,,,,,,case rate,,15826,,,,,,,case rate,,15826,,,,,,,case rate,,15826,,,,,,,case rate,,18200,,,,,,,case rate,,17409,,,,,,,case rate,,15351,,,,,,,case rate,,15826,,,,,,,case rate,,15826,,,,,,,case rate,,16301,,,,,,,case rate,,35609,,,,,,,case rate,,15351,35609,
Uterine & adnexa procedures for ovarian & adnexal malignancy,511,APR-DRG,,inpatient,,,26250,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,26250,,,,,,,case rate,,35700,,,,,,,case rate,,26250,,,,,,,case rate,,26250,,,,,,,case rate,,26250,,,,,,,case rate,,30188,,,,,,,case rate,,28875,,,,,,,case rate,,25463,,,,,,,case rate,,26250,,,,,,,case rate,,26250,,,,,,,case rate,,27038,,,,,,,case rate,,59063,,,,,,,case rate,,25463,59063,
Uterine & adnexa procedures for ovarian & adnexal malignancy,511,APR-DRG,,inpatient,,,63995,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,63995,,,,,,,case rate,,87033,,,,,,,case rate,,63995,,,,,,,case rate,,63995,,,,,,,case rate,,63995,,,,,,,case rate,,73594,,,,,,,case rate,,70394,,,,,,,case rate,,62075,,,,,,,case rate,,63995,,,,,,,case rate,,63995,,,,,,,case rate,,65915,,,,,,,case rate,,143989,,,,,,,case rate,,62075,143989,
"V2632 - LENS, AMO # ZCB00 5.0D",V2632,HCPCS,,both,,,627,627,,70,,,,,,,fee schedule,,187,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,83,,,,,,,fee schedule,,83,,,,,,,fee schedule,,199,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,175,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,160,,,,,,,fee schedule,,164,,,,,,,fee schedule,,359,,,,,,,fee schedule,,70,378,
V2785 - CORNEAL TISSUE PRE CUT,V2785,HCPCS,,both,,,27037,27037,,27142,,,,,,,case rate,,32658,,,,,,,case rate,,26366,,,,,,,case rate,,26366,,,,,,,case rate,,37794,,,,,,,case rate,,37794,,,,,,,case rate,,28210,,,,,,,case rate,,18347,,,,,,,case rate,,  ,,,,,,,case rate,,24356,,,,,,,case rate,,24356,,,,,,,case rate,,24356,,,,,,,case rate,,24843,,,,,,,case rate,,24356,,,,,,,case rate,,24356,,,,,,,case rate,,24356,,,,,,,case rate,,22651,,,,,,,case rate,,24356,,,,,,,case rate,,24356,,,,,,,case rate,,24356,,,,,,,case rate,,24356,,,,,,,case rate,,24843,,,,,,,case rate,,26061,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,18347,37794,
V2790 - GRAFT AMNIOTIC,V2790,HCPCS,,both,,,21674,21674,,25767,,,,,,,case rate,,31004,,,,,,,case rate,,25031,,,,,,,case rate,,25031,,,,,,,case rate,,35880,,,,,,,case rate,,35880,,,,,,,case rate,,26781,,,,,,,case rate,,17418,,,,,,,case rate,,  ,,,,,,,case rate,,23192,,,,,,,case rate,,23192,,,,,,,case rate,,23192,,,,,,,case rate,,23655,,,,,,,case rate,,23192,,,,,,,case rate,,23192,,,,,,,case rate,,23192,,,,,,,case rate,,21568,,,,,,,case rate,,23192,,,,,,,case rate,,23192,,,,,,,case rate,,23192,,,,,,,case rate,,23192,,,,,,,case rate,,23655,,,,,,,case rate,,24815,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17418,35880,
Vaginal delivery,560,APR-DRG,,inpatient,,,5442,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5442,,,,,,,case rate,,7401,,,,,,,case rate,,5442,,,,,,,case rate,,5442,,,,,,,case rate,,5442,,,,,,,case rate,,6259,,,,,,,case rate,,5986,,,,,,,case rate,,5279,,,,,,,case rate,,5442,,,,,,,case rate,,5442,,,,,,,case rate,,5605,,,,,,,case rate,,12245,,,,,,,case rate,,5279,12245,
Vaginal delivery,560,APR-DRG,,inpatient,,,6015,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6015,,,,,,,case rate,,8180,,,,,,,case rate,,6015,,,,,,,case rate,,6015,,,,,,,case rate,,6015,,,,,,,case rate,,6917,,,,,,,case rate,,6616,,,,,,,case rate,,5834,,,,,,,case rate,,6015,,,,,,,case rate,,6015,,,,,,,case rate,,6195,,,,,,,case rate,,13533,,,,,,,case rate,,5834,13533,
Vaginal delivery,560,APR-DRG,,inpatient,,,7466,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7466,,,,,,,case rate,,10154,,,,,,,case rate,,7466,,,,,,,case rate,,7466,,,,,,,case rate,,7466,,,,,,,case rate,,8586,,,,,,,case rate,,8213,,,,,,,case rate,,7242,,,,,,,case rate,,7466,,,,,,,case rate,,7466,,,,,,,case rate,,7690,,,,,,,case rate,,16798,,,,,,,case rate,,7242,16798,
Vaginal delivery,560,APR-DRG,,inpatient,,,17438,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17438,,,,,,,case rate,,23715,,,,,,,case rate,,17438,,,,,,,case rate,,17438,,,,,,,case rate,,17438,,,,,,,case rate,,20053,,,,,,,case rate,,19181,,,,,,,case rate,,16915,,,,,,,case rate,,17438,,,,,,,case rate,,17438,,,,,,,case rate,,17961,,,,,,,case rate,,39235,,,,,,,case rate,,16915,39235,
Vaginal delivery w complicating procedures exc sterilization &/or D&C,542,APR-DRG,,inpatient,,,6116,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6116,,,,,,,case rate,,8318,,,,,,,case rate,,6116,,,,,,,case rate,,6116,,,,,,,case rate,,6116,,,,,,,case rate,,7034,,,,,,,case rate,,6728,,,,,,,case rate,,5933,,,,,,,case rate,,6116,,,,,,,case rate,,6116,,,,,,,case rate,,6300,,,,,,,case rate,,13762,,,,,,,case rate,,5933,13762,
Vaginal delivery w complicating procedures exc sterilization &/or D&C,542,APR-DRG,,inpatient,,,6971,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6971,,,,,,,case rate,,9480,,,,,,,case rate,,6971,,,,,,,case rate,,6971,,,,,,,case rate,,6971,,,,,,,case rate,,8016,,,,,,,case rate,,7668,,,,,,,case rate,,6761,,,,,,,case rate,,6971,,,,,,,case rate,,6971,,,,,,,case rate,,7180,,,,,,,case rate,,15684,,,,,,,case rate,,6761,15684,
Vaginal delivery w complicating procedures exc sterilization &/or D&C,542,APR-DRG,,inpatient,,,12556,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,12556,,,,,,,case rate,,17076,,,,,,,case rate,,12556,,,,,,,case rate,,12556,,,,,,,case rate,,12556,,,,,,,case rate,,14439,,,,,,,case rate,,13811,,,,,,,case rate,,12179,,,,,,,case rate,,12556,,,,,,,case rate,,12556,,,,,,,case rate,,12932,,,,,,,case rate,,28250,,,,,,,case rate,,12179,28250,
Vaginal delivery w complicating procedures exc sterilization &/or D&C,542,APR-DRG,,inpatient,,,15837,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15837,,,,,,,case rate,,21539,,,,,,,case rate,,15837,,,,,,,case rate,,15837,,,,,,,case rate,,15837,,,,,,,case rate,,18213,,,,,,,case rate,,17421,,,,,,,case rate,,15362,,,,,,,case rate,,15837,,,,,,,case rate,,15837,,,,,,,case rate,,16312,,,,,,,case rate,,35634,,,,,,,case rate,,15362,35634,
Vaginal delivery w sterilization &/or D&C,541,APR-DRG,,inpatient,,,7226,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7226,,,,,,,case rate,,9828,,,,,,,case rate,,7226,,,,,,,case rate,,7226,,,,,,,case rate,,7226,,,,,,,case rate,,8310,,,,,,,case rate,,7949,,,,,,,case rate,,7010,,,,,,,case rate,,7226,,,,,,,case rate,,7226,,,,,,,case rate,,7443,,,,,,,case rate,,16260,,,,,,,case rate,,7010,16260,
Vaginal delivery w sterilization &/or D&C,541,APR-DRG,,inpatient,,,7812,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7812,,,,,,,case rate,,10625,,,,,,,case rate,,7812,,,,,,,case rate,,7812,,,,,,,case rate,,7812,,,,,,,case rate,,8984,,,,,,,case rate,,8594,,,,,,,case rate,,7578,,,,,,,case rate,,7812,,,,,,,case rate,,7812,,,,,,,case rate,,8047,,,,,,,case rate,,17578,,,,,,,case rate,,7578,17578,
Vaginal delivery w sterilization &/or D&C,541,APR-DRG,,inpatient,,,10235,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,10235,,,,,,,case rate,,13919,,,,,,,case rate,,10235,,,,,,,case rate,,10235,,,,,,,case rate,,10235,,,,,,,case rate,,11770,,,,,,,case rate,,11258,,,,,,,case rate,,9928,,,,,,,case rate,,10235,,,,,,,case rate,,10235,,,,,,,case rate,,10542,,,,,,,case rate,,23028,,,,,,,case rate,,9928,23028,
Vaginal delivery w sterilization &/or D&C,541,APR-DRG,,inpatient,,,11212,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,11212,,,,,,,case rate,,15249,,,,,,,case rate,,11212,,,,,,,case rate,,11212,,,,,,,case rate,,11212,,,,,,,case rate,,12894,,,,,,,case rate,,12333,,,,,,,case rate,,10876,,,,,,,case rate,,11212,,,,,,,case rate,,11212,,,,,,,case rate,,11549,,,,,,,case rate,,25228,,,,,,,case rate,,10876,25228,
Ventricular shunt procedures,22,APR-DRG,,inpatient,,,13102,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,13102,,,,,,,case rate,,17819,,,,,,,case rate,,13102,,,,,,,case rate,,13102,,,,,,,case rate,,13102,,,,,,,case rate,,15068,,,,,,,case rate,,14413,,,,,,,case rate,,12709,,,,,,,case rate,,13102,,,,,,,case rate,,13102,,,,,,,case rate,,13495,,,,,,,case rate,,29480,,,,,,,case rate,,12709,29480,
Ventricular shunt procedures,22,APR-DRG,,inpatient,,,16753,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,16753,,,,,,,case rate,,22784,,,,,,,case rate,,16753,,,,,,,case rate,,16753,,,,,,,case rate,,16753,,,,,,,case rate,,19266,,,,,,,case rate,,18428,,,,,,,case rate,,16251,,,,,,,case rate,,16753,,,,,,,case rate,,16753,,,,,,,case rate,,17256,,,,,,,case rate,,37695,,,,,,,case rate,,16251,37695,
Ventricular shunt procedures,22,APR-DRG,,inpatient,,,27463,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27463,,,,,,,case rate,,37349,,,,,,,case rate,,27463,,,,,,,case rate,,27463,,,,,,,case rate,,27463,,,,,,,case rate,,31582,,,,,,,case rate,,30209,,,,,,,case rate,,26639,,,,,,,case rate,,27463,,,,,,,case rate,,27463,,,,,,,case rate,,28287,,,,,,,case rate,,61791,,,,,,,case rate,,26639,61791,
Ventricular shunt procedures,22,APR-DRG,,inpatient,,,55373,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,55373,,,,,,,case rate,,75307,,,,,,,case rate,,55373,,,,,,,case rate,,55373,,,,,,,case rate,,55373,,,,,,,case rate,,63679,,,,,,,case rate,,60910,,,,,,,case rate,,53712,,,,,,,case rate,,55373,,,,,,,case rate,,55373,,,,,,,case rate,,57034,,,,,,,case rate,,124589,,,,,,,case rate,,53712,124589,
Vertigo & other labyrinth disorders,111,APR-DRG,,inpatient,,,4500,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4500,,,,,,,case rate,,6120,,,,,,,case rate,,4500,,,,,,,case rate,,4500,,,,,,,case rate,,4500,,,,,,,case rate,,5175,,,,,,,case rate,,4950,,,,,,,case rate,,4365,,,,,,,case rate,,4500,,,,,,,case rate,,4500,,,,,,,case rate,,4635,,,,,,,case rate,,10124,,,,,,,case rate,,4365,10124,
Vertigo & other labyrinth disorders,111,APR-DRG,,inpatient,,,5568,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5568,,,,,,,case rate,,7572,,,,,,,case rate,,5568,,,,,,,case rate,,5568,,,,,,,case rate,,5568,,,,,,,case rate,,6403,,,,,,,case rate,,6124,,,,,,,case rate,,5401,,,,,,,case rate,,5568,,,,,,,case rate,,5568,,,,,,,case rate,,5735,,,,,,,case rate,,12527,,,,,,,case rate,,5401,12527,
Vertigo & other labyrinth disorders,111,APR-DRG,,inpatient,,,7838,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7838,,,,,,,case rate,,10660,,,,,,,case rate,,7838,,,,,,,case rate,,7838,,,,,,,case rate,,7838,,,,,,,case rate,,9014,,,,,,,case rate,,8622,,,,,,,case rate,,7603,,,,,,,case rate,,7838,,,,,,,case rate,,7838,,,,,,,case rate,,8073,,,,,,,case rate,,17636,,,,,,,case rate,,7603,17636,
Vertigo & other labyrinth disorders,111,APR-DRG,,inpatient,,,7981,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,7981,,,,,,,case rate,,10854,,,,,,,case rate,,7981,,,,,,,case rate,,7981,,,,,,,case rate,,7981,,,,,,,case rate,,9178,,,,,,,case rate,,8779,,,,,,,case rate,,7741,,,,,,,case rate,,7981,,,,,,,case rate,,7981,,,,,,,case rate,,8220,,,,,,,case rate,,17957,,,,,,,case rate,,7741,17957,
Viral illness,723,APR-DRG,,inpatient,,,4726,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,4726,,,,,,,case rate,,6427,,,,,,,case rate,,4726,,,,,,,case rate,,4726,,,,,,,case rate,,4726,,,,,,,case rate,,5435,,,,,,,case rate,,5198,,,,,,,case rate,,4584,,,,,,,case rate,,4726,,,,,,,case rate,,4726,,,,,,,case rate,,4868,,,,,,,case rate,,10633,,,,,,,case rate,,4584,10633,
Viral illness,723,APR-DRG,,inpatient,,,5708,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,5708,,,,,,,case rate,,7763,,,,,,,case rate,,5708,,,,,,,case rate,,5708,,,,,,,case rate,,5708,,,,,,,case rate,,6565,,,,,,,case rate,,6279,,,,,,,case rate,,5537,,,,,,,case rate,,5708,,,,,,,case rate,,5708,,,,,,,case rate,,5880,,,,,,,case rate,,12844,,,,,,,case rate,,5537,12844,
Viral illness,723,APR-DRG,,inpatient,,,8782,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8782,,,,,,,case rate,,11943,,,,,,,case rate,,8782,,,,,,,case rate,,8782,,,,,,,case rate,,8782,,,,,,,case rate,,10099,,,,,,,case rate,,9660,,,,,,,case rate,,8518,,,,,,,case rate,,8782,,,,,,,case rate,,8782,,,,,,,case rate,,9045,,,,,,,case rate,,19758,,,,,,,case rate,,8518,19758,
Viral illness,723,APR-DRG,,inpatient,,,27624,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,27624,,,,,,,case rate,,37569,,,,,,,case rate,,27624,,,,,,,case rate,,27624,,,,,,,case rate,,27624,,,,,,,case rate,,31768,,,,,,,case rate,,30387,,,,,,,case rate,,26795,,,,,,,case rate,,27624,,,,,,,case rate,,27624,,,,,,,case rate,,28453,,,,,,,case rate,,62154,,,,,,,case rate,,26795,62154,
Viral meningitis,51,APR-DRG,,inpatient,,,6344,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,6344,,,,,,,case rate,,8627,,,,,,,case rate,,6344,,,,,,,case rate,,6344,,,,,,,case rate,,6344,,,,,,,case rate,,7295,,,,,,,case rate,,6978,,,,,,,case rate,,6153,,,,,,,case rate,,6344,,,,,,,case rate,,6344,,,,,,,case rate,,6534,,,,,,,case rate,,14273,,,,,,,case rate,,6153,14273,
Viral meningitis,51,APR-DRG,,inpatient,,,8050,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,8050,,,,,,,case rate,,10948,,,,,,,case rate,,8050,,,,,,,case rate,,8050,,,,,,,case rate,,8050,,,,,,,case rate,,9257,,,,,,,case rate,,8855,,,,,,,case rate,,7808,,,,,,,case rate,,8050,,,,,,,case rate,,8050,,,,,,,case rate,,8291,,,,,,,case rate,,18112,,,,,,,case rate,,7808,18112,
Viral meningitis,51,APR-DRG,,inpatient,,,15590,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,15590,,,,,,,case rate,,21202,,,,,,,case rate,,15590,,,,,,,case rate,,15590,,,,,,,case rate,,15590,,,,,,,case rate,,17928,,,,,,,case rate,,17149,,,,,,,case rate,,15122,,,,,,,case rate,,15590,,,,,,,case rate,,15590,,,,,,,case rate,,16057,,,,,,,case rate,,35077,,,,,,,case rate,,15122,35077,
Viral meningitis,51,APR-DRG,,inpatient,,,17790,,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,,,,,,,,case rate,,17790,,,,,,,case rate,,24195,,,,,,,case rate,,17790,,,,,,,case rate,,17790,,,,,,,case rate,,17790,,,,,,,case rate,,20459,,,,,,,case rate,,19569,,,,,,,case rate,,17256,,,,,,,case rate,,17790,,,,,,,case rate,,17790,,,,,,,case rate,,18324,,,,,,,case rate,,40028,,,,,,,case rate,,17256,40028,